Unauthorized Repair Notice Form
Use this form to report any unauthorized repair activity involving vehicles, equipment, or items. Please provide as much detail as possible to help us investigate and resolve the incident.
Vehicle/Equipment/Item Involved
*
Description of the Unauthorized Repair
*
Who performed the repair? (if known)
Date of Incident
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location of Incident
*
Why is this repair considered unauthorized?
*
Impact or Damage Caused
Upload Supporting Evidence (photos, documents, etc.)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Your Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Submit Report
Should be Empty: