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Vehicle Repair Data
Were some or all of the repairs warranty or recall related?
Required
** None
None
Some
All
What type of repair was performed?
Fuel Control
Ignition
Catalytic Converter
Engine
OBD/
Other
The vehicle was repaired by:
Required
** None
Vehicle Owner
Repair Facility
Repair date
Required
Americas/Denver
Name of Repair Facility
Required
Repair Technician Number
Vehicle Inspection Report Number (top right of VIR)
Required
Facility Number
Facility Phone Number (Repair shops MUST enter the shop telephone number for credit.)
Vehicle Identification Number (VIN)
Required
Parts Cost
Required
Labor Cost
Required
Miscellaneous Costs
Required
Diagnostic Costs
Required
Total Repair Costs
Required
Submit
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