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Warranty Claim Information

Submit a warranty claim for credit with the information indicated below:

FAILED PARTS LABOR LAB
REPAIR PERFORMED PC PART NO. ALLOW FC OP HRS

REPLACE ANTENNA 1 94843837 ** 00 T1220 0.6
MAST ASSEMBLY


** The "Parts Allowance" should be the sum total of the current GMSPO Dealer Net price plus 30% of all parts required for the repair.
REIMBURSEMENT

Claims for customer reimbursement for previously paid repairs are eligible for reimbursement of repair expenses due to a previous antenna base plate fracture.

To obtain reimbursement, eligible owners must submit claims to an authorized Chevrolet dealer. The reimbursement should not exceed the amount paid by Chevrolet for the applicable labor operation.

When a customer requests reimbursement the following must accompany that request:

- Proof of ownership, and

- Original paid receipt, or

- A copy of receipt with proof of payment.

Claims for customer reimbursement on previously paid repairs are to be submitted according to the form and instructions included with this Bulletin. Additional forms are to be reproduced locally.






INSTRUCTIONS

1. R.O. NUMBER & DATE: The dealership should enter the R.O. Number and Date of the owner's or dealer's paid receipt or invoice.

2. REQUEST DATE (MONTH, DAY): Date owner or dealer requested reimbursement.

3. VEHICLE IDENTIFICATION NUMBER: VIN involved.

4. MILEAGE: Enter mileage at time of transaction. (If not available, enter "0".)

5. FC Code is preprinted on form.

6. LABOR OPERATION NO. - Use T1225.

7. & 8. SUBLET DMN & LINE TOTAL: Enter total amount of reimbursement. (Do not enter parts or labor hours on claim.)

9. AUTH CODE: If the amount of reimbursement approved is $40* or less, no authorization is needed. If the amount exceeds $40*, contact Chevrolet Representative for GSD-740 authorization.

10. REQUESTED REIMBURSEMENT: Dealer Service Manager enter amounts determined from owner supplied invoices or paid receipts, which are covered.

11. APPROVED AMOUNT & 740 STAMP: Dealer Service Manager to determine based on reimbursement policy of this bulletin. If the total amount exceeds $40*, contact Chevrolet Representative for GSD-740 authorization.

12. See Item 11 to determine need for GSD-740 authorization.

13. DEALER REFERENCE INFORMATION:

A. Enter Document Number and Line Number on which claim was submitted.

B. Enter Claim Memo Number and Date when claim is credited.

C. Enter Number of Dealer Check to Owner, if applicable. Date Check was written, if applicable. Date copy of Check was attached to OWNER REQUEST FOR REIMBURSEMENT file.

14. OWNER INFORMATION (must include telephone number).

15. DEALER INFORMATION & SERVICE MANAGER SIGNATURE: To be completed by Service Manager.

16. EXPLAIN: Should the Dealer Service Manager determine, after review of owner's invoices/receipts, that the reimbursement case is not eligible; Service Manager should write reason on worksheet, explain to owner, and place a copy of the worksheet in the file.

If the amount approved by the Chevrolet Representative is different from the amount determined by the dealer, the Chevrolet Representative will provide a reason as an explanation to the owner.

17. The Dealer is then to issue the owner a check for reimbursement in the approved amount. A copy of the check issued to the owner is to be attached to the Dealer's file copy of the request within 30 days after Dealer credit is received and retained for 24 months from date of credit.

* NOTE: Calculated reimbursement should not exceed warranty labor time guide (.6) x prevailing labor rate + warranty cost of parts.