AutomotiveModules.com      Updated: August , 2019                                        (734) 228-8679
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 MidwestTecKmart.com
       Thunderbird 2002-05 Electronic Modules Repair Expert & World class Tech support. please be advised our Tech time is not for free.  
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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 .
 to print this form : 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. Please do not forget to sign this form.

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 ? in Simple Truth ,Non Technical Terms.







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...........................................................................................
                             
please be advised ,providing DTC Codes and their full definition is very helpful for our repair provide them here when you have them. 

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 person who paid on line ............................................Payer Signature............................ Date..........................


Warning:If you do not explain the Driver Complain in the above square Box WE will NOT start the repair until redone.