Claim Submission Instructions

Return Company Claim Copy NO. 2 For Reimbursement

Upon completion of the required service, return the second copy of the Form 1864 completely filled out, including identification of ALL parts used, and their cost including the 30% parts handling allowance, stamped with Dealer Imprinter, signed and dated by authorized Dealer personnel. Use of the imprinter assures prompt payment to you. Only the Form 1864 will be accepted for claims on this recall.

NOTE:
^ Inspect Only claims may be submitted directly to Warranty Claims Processing.

^ Inspect and Install claims must be provided to the Company Representative with replaced VIN elements for return to the Company.

NOTE:
It is important that all claims be filed for all completed units so that you will be reimbursed and our records will show completion.

Your cooperation in the timely and effective administration of this recall is appreciated.