Apply for Reimbursement

If you have previously paid for repairs associated with this condition, you may be eligible for reimbursement.

Affected vehicle owners have until March 6, 2026, to submit their reimbursement request using the form below.

VEHICLE INFORMATION



Your Vehicle Identification Number (VIN) is a 17 character ID located on all vehicle registration & insurance documents.

CONTACT INFORMATION






PROOF OF REPAIR


Attach a copy of the receipt or invoice for the repair. A copy of the repair invoice or work order showing the repair will meet this requirement. The receipt or invoice must show your vehicle model, vehicle identification number (VIN), the name and address of the facility that completed the repair, the cost of the repair (parts and labour), and the date the work was completed. (Required)


Click (or drag) to add your proof of repair.


PROOF OF PAYMENT


Attach proof of payment, such as a copy of the bank statement, cash receipt, or credit card receipt showing what you paid for the repair. (Required)

Click (or drag) to add your proof of payment.

If the proof of payment appears on the same document as the proof of repair, re-select the same file.

COST OF REPAIR







REIMBURSEMENT PAYMENT METHOD







ADDITIONAL NOTES


CERTIFICATION


By signing this form, you are certifying under oath that you have not already been reimbursed for the specific amount sought for any of the above repairs.




Enter the code in the box below.

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