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Service outlet/Operation no. | Customer | |
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Vehicle identification number | Repair order no. | |
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Tester: Name | Date | |
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License plate number Initial registration | Model and variant | Odometer reading: km |
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Contact person: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | |
Telephone no.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | |
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Component affected: | |
☐ Armrest | ☐ Beltline |
☐ Center field | ☐ Map pocket |
☐ Door panel (overall) | ☐ Mirror triangle |
☐ Switch (seat adjustment switch, window lifter, …) | ☐ Basic carrier |
☐ Other components: _______________________________________ | |
Complaint noise: | |
☐ Creaking armrest | ☐ Clanking door lining when driving on poor road surface |
☐ Clanking door lining caused by sound excitation | |
☐ Other noise: ________________________________________ | |
1. | Detailed description of complaint from a technical viewpoint. Please note down as many ambient conditions and particularities as possible (route, temperature, speed, music track, music volume, etc.): |
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2. | Detailed description of complaint from customer's viewpoint. Please note down as many particularities as possible; enclose photo or sound recording of complaint with form |
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3. | How often and when does the complaint occur or does the complaint occur continuously? |
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4. | Can the fault be reproduced or at least triggered? If so, how? |
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