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Email Address:

Home Telephone Number:

Mobile Number:

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Registration Number:

Make:

Model:

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Year of First Registration:

Mileage:

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Vehicle Fault Information:

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Does the fault bring any warning lights on?
YESNODON'T KNOW

Does the fault cause a loss of power?
YESNODON'T KNOW

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Has the fault been looked at previously?

If yes, please supply copies of invoices:

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When did the fault first start? (Include date and mileage)

Is there anything that affects the fault? (Weather, vehicle temperature, time the vehicle has been used/running)

Has the vehicle been re-mapped for power or any deletes (EGR/DPF etc)?

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Any other information you feel may be of relevance to us?

Vehicle Repair/Service History:

Please give any recent repairs/servicing the vehicle has had:

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Is the vehicle regularly serviced?
YESNODON'T KNOW

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Vehicle make and model:

Reg:

Registration Date:

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Has the vehicle been to another garage before us?
YESNODON'T KNOW

If yes, who looked at it and when?

Have any fault codes been cleared?
YESNODON'T KNOW

How long have you continued to drive with this fault on?

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When was the last service carried out and by who?

How often do you do a motorway drive over 20 miles?
OCCASIONALLYOFTENNEVER

What sort of speed do you do on this type of road?

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Where do you usually buy fuel?
—Please choose an option—SUPERMARKETSHELLBPESSOOTHER

Do you drive with the fuel light on?
OCCASIONALLYOFTENNEVER

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Have any attempts been made to clean the DPF by another garage?
YESNODON'T KNOW

Have any DIY attempts been made to clean the DPF?
YESNODON'T KNOW

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Have you used any additives/fluids to help regen or clean DPF?
YESNODON'T KNOW

If YES: What brand was used?

How much was used?

Where was it added?
—Please choose an option—IN TANKIN ENGINEIN DPF

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Your Postcode:

Your Vehicle Make & Model:

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