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161
[HS04450( ALL)01/96]
What the Board Needs
[HS04550( ALL)01/96]
To have your case reviewed you must complete
the application in the DSB brochure and mail it
to the address provided on the application form.
[HS04650( ALL)01/96]
Your application is reviewed and, if it is
determined to be eligible, you will receive an
acknowledgement indicating:
[HS04750( ALL)01/96]
❑
The file number assigned to your application
[HS04850( ALL)01/96]
❑
The toll-free phone number of the DSB’s
independent administrator
[HS04950( ALL)01/96]
Your dealership and a Ford Motor Company
representative are asked to submit statements at
this time.
*
[HS05300( ALL)04/95]
To review your case properly, the Board needs
the following information:
*
[HS05400( ALL)01/96]
❑
legible copies of all documents and
maintenance or repair orders relevant to the
case
*
[HS05500( ALL)01/96]
❑
the year, make, model, and vehicle
identification number (VIN) listed on your
vehicle ownership license
*
[HS05700( ALL)01/96]
❑
the date of repair(s) and the mileage at the
time of occurrence(s)
*
[HS05800( ALL)04/95]
❑
the current mileage
*
[HS05900( ALL)01/96]
❑
the name of the dealer who sold or serviced
the vehicle
*
[HS06000( ALL)01/96]
❑
a brief description of your unresolved concern
*
[HS06100( ALL)05/95]
❑
a brief summary of actions that were taken
with the dealer and Ford Motor Company
*
[HS06200( ALL)05/95]
❑
the names (if known) of all people you
contacted at the dealership
*
[HS06300( ALL)01/96]
❑
a description of the action you expect to
resolve your concern.
*
[HS06305( ALL)07/95]
Should your application NOT qualify for review,
an explanation will be mailed to you.
File:14lthsm.ex
Update:Fri Dec 13 11:25:38 1996
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