INSTRUCTIONS:

1. ENTER YOUR FIRST AND LAST NAME
2. ENTER YOUR TRUCK NUMBER
3. ENTER YOUR TRUCKS ODOMETER
4. ENTER YOUR TRAILER NUMBER
5. CHECK ANY AND ALL OF THE BOXES WHERE YOU HAD THE DEFECT – FOR EXAMPLE IF YOU HAD A FLAT TIRE CLICK THE TIRE BOX
6. DESCRIBE THE DEFECT – FOR EXAMPLE “FLAT TIRE” OR “HEADLIGHT OUT”
7. UPLOAD ANY AND ALL DOCUMENTS RELATED TO THE REPAIR
8. SIGN AND SUBMIT