AutomotiveModules.com      Updated: June , 2019                                           (734) 228-8679
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                                          Thunderbird 2002-05 Electronic Modules Repair Expert  & World class Tech support.
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                                                                          Work Order, (repair Authorization)
This is a Legal Document DO NOT modify, if you write  " SEE ATTACHED"explain  in this page what is in attached .
 just highlight the white portion of this page then click print ,then hand write the answers with a pen and place it in the package with your Module that you send in for repair. 
 FOR  ECUs, ECMs, TCMs Write  DTC CODES & its Description please. This form MUST be signed & dated . 

Name....................................................Service Center Name(if you are a company).....................................................

Address.................................................................................City..............................State.......................Zip..................


Phone #  (..........) ............  ................. Email or Cell Phone.  ........... ................... ............................. .................................................      

I am sending Module called.........................................................which Determined by qualified Tech:needs repair.

The part Number is...............................................................     The Care Mileage is .............................................

Year...........Make..............Model...................Vin ..... .....  .....  .....  .....  .....  .....  .....  .....  .....  .....  .....  .....  ....  ....  .... .....

 Please write what is original customer Complain ?.YOU MUST write exact words of customer or driver of the car !
 please do not  use words as "inope" , Issue, problem. TO explain:write in SIMPLE Truth what is doing  in detail.





Did you replace any Part  but  it did not fix the problem ? or any prior attempt to repair this module?..........................

Diagnostic Codes: #....................Code Full  description............................................................................................

                                #......................Code  Full description...........................................................................................

                                #......................Code Full description...........................................................................................
please be advised for Certain Controllers such as some: ECUs, PCMs, 02 Escalade EBCM ,Corvette 98-2000 ABS, Full Description of Fault Code off the scanner is critical for Turn around Time & The Fixed price that we declared. Write DTC Codes definition here also rather than saying see ATTACHED.
Any Malfunction  Indicator Lights is on? ........................   ..........................  .......................

 I certify the malfunctions  and or  Codes described above areTrue and update and I Verified them, and I agree with the Warranty Term which in case if needed more repair in arrival or within warranty time I honor the term.   

Name of the Payer who paid by Credit card................................................. Payer Signature............................ Date..............