<p> Warranty and Customer Service Authorisation Request Please complete ALL sections and email completed form to [email protected]</p><p>PDI General Customer Parts Warranty Paint Warranty Warranty Service Please include Please include  Paint Mark Up sheet  Copy of original invoice  Digital photos  Cost estimate Authorisation Number: Approved by: Authorised by: Date:</p><p>Dealer Name: Registration Number:</p><p>Dealer Account Number: Date of Registration:</p><p>Model: Owner Name:</p><p>Full Vin / Chassis Number: Date of Defect: SCC </p><p>Current Mileage / KM: Further action required for authorisation (office use only)</p><p>Has the vehicle been checked for outstanding recalls? Yes No Any modifications to vehicle? (Modification type if Yes) Yes No Please state the defect or failure:</p><p>Explanation of possible cause:</p><p>Please state the proposed rectification:</p><p>Please enter the Causal part and description (even if not replaced) Part Number Description</p><p>Labour Code Time A B Part Number Description Qty Price</p><p>Unless additional time is requested, ALL Warranty work will be paid at flat rate book times (found in the Lotus Labour Time Schedules) and parts paid at Warranty prices (inc dealer discount and 10% handling charge). Please state any reasons that repair cannot be carried out within 21 days of issue of Authority:</p><p>Parts Costs * £ *= Retail price – dealer discount + 10% handling up to max. of £40 Labour Costs £ Submitted by: Sublet Cost £ Date Submitted: Total Cost £ Contact Tel No: </p><p>Version July14_01</p>