Customer declaration, reduction of seat belt warning tone, certification · of9160p100017ab · Mercedes-Benz WIS

OF91.60-P-1000-17AB

Customer declaration, reduction of seat belt warning tone, certification

Only valid for Australia and Europe

MODEL

ALL

At the express customer request, on your vehicle with vehicle identification number: _________________________________________________ the seat belt warning tone is reduced. As a result of this measure, no acoustic belt reminder will be output for the driver or front passenger while driving. There is therefore a risk of the driver/front passenger forgetting to wear their seat belt.

Risk of injury A seat belt which is not worn at all or not worn correctly cannot perform its protection function. The airbags too can only provide the specified protection when the occupants are wearing their seat belts correctly. For this reason make sure that all occupants — in particular pregnant women — always wear their seat belts correctly. The customer is expressly informed of this increased risk of injury should a seat belt not be worn or be worn incorrectly and, furthermore, is bound to notify third parties of the situation before allowing them to use the vehicle.
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(Copy sheet, cut off here and stick the upper section into the operator's manual at the start of the chapter on SAFETY)

Certificate of compliance, exemption and measures
Valid for Europe

1.	The customer declared that he is aware of all the hazards and injury risks involved in connection with his requested change, as mentioned above. The customer's signature indicates that the customer expressly approved of such a change.

2.	The customer is aware that on account of his requested change and - as a consequence - his expressly declared approval of the attendant, increased hazards and risks of injury, no claims can be expressed against Daimler AG, its group member companies or its sales partners, which arise – directly or indirectly – because of the above-mentioned change and the related increased risks of injury.

3.	The customer hereby releases Daimler AG from all third-party claims and indemnification as stated under (2.).

Vehicle identification number		Name and address of customer:

_________________________________		_________________________________

		_________________________________

		_________________________________

4.	Furthermore, the customer is obliged:

a)	to ensure that

	the above-separated specification is always kept with the operator's manual and

	that other users of the vehicle are informed thereof and

b)	to ensure that other users/purchasers of the vehicle be notified in full of the change and the related hazards and risks of injury involved, and that this be documented and

c)	to have the seat belt warning tone reduction reversed in the event of any change of ownership of the vehicle in a qualified workshop and at their own expense.


______________________________________		______________________________________
Date/signature of customer		Date/stamp and signature, Mercedes-Benz service operation

Process customer request - standard Reduction in seat belt warning tone

Customer: Inquiry Via sales to workshop or directly to workshop

Workshop:	-	Provide information that decisions are made on an individual case basis
	-	Instruction of customer about the dangers mentioned in the relevant version of the customer declaration "Reduction in seat belt warning tone"

Customer and workshop:	1.	Complete customer declaration "Reduction in seat belt warning tone" and then copy
		-	Signature of customer, stamp and signature of workshop
	2.	Customer identification
		-	Copy of ID
		-	Copy of the motor vehicle registration certificate
		-	Copy of documentation justifying the request (e.g. depending on laws: medical certificate regarding exemption from wearing seat belt, proof of use in distribution haulage etc.)

Scan completed customer declaration form (1) and customer identification (2) and send as attachment to MPC/General Distributor via XSF ticket.

Workshop:	-	Initiate parts order (part number A 000 827 58 59)
	-	Instrument cluster SCN coding after feedback via XSF from GLC Germersheim
	-	Archive copied customer declaration (1)
	-	Cut off and stick the upper section of the copied customer declaration in the operator's manual (start of the chapter on Safety)
	-	Now enter in the service booklet