Electronic Parking Brake Manual Release Instructions Acknowledgment Form
Please complete this form to acknowledge you have read and understood the manual release instructions for the electronic parking brake.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Vehicle Make
*
Vehicle Model
*
Vehicle Year
*
Vehicle Identification Number (VIN)
*
Reason for Manual Release
*
I confirm that I have read and understood the Electronic Parking Brake Manual Release Instructions and acknowledge my responsibility in performing this procedure.
*
I acknowledge and accept responsibility.
Signature and Date
*
Submit Acknowledgment
Submit Acknowledgment
Should be Empty: