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Satisfactory Quality Dispute (SQD) Complaint Form

Satisfactory Quality Dispute (SQD) Complaint Form

[Insert copy explaining form]

First Name *

This field is mandatory and must be filled in.

Last Name *

This field is mandatory and must be filled in.

Email *

This field is mandatory and must be filled in.

Description of Vehicle Issue *

This field is mandatory and must be filled in.

Date Vehicle Issue Started *

This field is mandatory and must be filled in.

How Often Does the Vehicle Issue Occur? *

This field is mandatory and must be filled in.

Have you Reported the Issue to your Retailer? *

This field is mandatory and must be filled in.

Which Retailer has the Vehicle Been to? *

This field is mandatory and must be filled in.

Has the Retailer Attempted to Repair the Vehicle? *

This field is mandatory and must be filled in.

Is the Vehicle Drivable and Safe to Use? *

This field is mandatory and must be filled in.

Where is the Vehicle Currently Located? *

This field is mandatory and must be filled in.

Do you have Access to a Courtsey Vehicle? *

This field is mandatory and must be filled in.

What is the Current Mileage of your Vehicle? *

This field is mandatory and must be filled in.

What is your Preferred Resolution? *

This field is mandatory and must be filled in.

Other Information

This field is mandatory and must be filled in.

* Mandatory fields (must be completed)