Personal Auto Care Form
Preventive Maintenance

.
How to use this Form:
.
.
Use one Form per vehicle. 
Type in the Form, on screen response, (fill out applicable blanks). 
. Press "TAB" to move between blank spaces. When finished, print the Form as a hard copy for your files.
. If you make a mistake, use backspace to erase and re-type information. Also, you may copy & paste information.
. When you close the file all information is erased, which allow repeat use of the form, for yourself, your friends and co workers. 



Your Vehicle Information
.
Vehicle
Model
Year
Engine
Mileage
Add'l Info

Scheduled Maintenance
.
Part 
Maintenance
Recommended
Repair
Your
Repair Date
Auto Shop
Name
Air Condition
Inspect 
With Tune Up
Air Filter
Inspect 
With Tune Up
Antifreeze
Add 50/50% solution when needed.
Battery
Inspect with every oil change
Belts
Inspect Inspect for dry, cracks & slack between pulleys
Brakes-Pads/Fluid
Inspect 
With Tune Up
Engine Oil
Inspect level every other fuel fill up. Change every 3 months or 3,000 Mi.
Fluid
Power Steering 
Inspect 
With Tune Up
Fluid
Transmission
Inspect 
With Tune Up
Fluid
Windshield
Inspect level every other fuel fill up.
Hoses
Inspect for softness or bulges.
Oil Filter
Replace with
every oil change
Shocks & Struts
Inspect & replace when worn or leaking.
Tires
Inspect 
With Tune Up
Tune Up
Every 6,000 Miles
Or Twice a year
Wiper Blades
Inspect & replace yearly or when smearing
.

We would be happy to answer your questions about your car, 
its maintenance and repair. For more details, feel free to contact:

US Automotive
27220 La Paz Road, Unit B
(In the Mission Viejo Commerce Center)
Mission Viejo, California
949-462-9005

Contents are copyright © 2005 by DMS
Please send comments or report problems to info@dmsindex.com