OF82.95-P-3000-06A | Modification for release deadline (authorization deadline) for TELE AID, form |
MODEL 203, 208, 210, 215, 220 with CODE (855) TELE AID
Branch/Agency company no. Customer
Vehicle ident no. Repair order no.
Tester: Name Date
License plate no. Original registration date Model Engine no. Odometer reading: km/miles
Modification of release deadline (authorization deadline) for TELE AID
If the authorization day for TELE AID is postponed inform Customer Assistance Center (CAC) of the new deadline.
Only this ensures that the automatic authorization for the customer vehicle can be performed at the new deadline!
Fill out fields below for modification of enable deadline and send modification application to the CAC.
The fax number of the CAC is: 00 31-4 33 56 23 13
Chassis number WDB __ __ __ __ __ __ __ __ __ __ __ __ __ __
New authorization deadline __ __.__ __.__ __ (day, month, year)
Stamp of dealer and signature
Name of employee