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Inspection Form

This form is to be completed by you or your dealer before you take operation with your SSR product. IMPORTANT - before completing this form, please ensure you have read fully the SSR Motorsports Factory Limited Warranty Guide.
Instruction for the Dealer: Please use this form to inspect all SSR products before the customer takes delivery. This form is for tracking potential quality control of safety related problems. This form is NOT used to gather customer information for any other purpose. Also your state law and federal law (49CRF part 573) may require this form as well. Failure to fill out this form may result in loss of warranty for your customer. This form is to be filled out within 14 Calendar days after delivery to your customer.
Note to Dealer: For product sold in store, Dealership must fill out this form.

* Required field

I am a*

Dealer

Consumer

Buy / Sell from
Dealership Name*

Invoice Number*

17 Digit VIN#*

Engine #*

Vehicle Type*

Model:*

Model Number can be found on the Box or MCO (Manufacture Certificate of Origin)

Other:*

Model:*

Model Number can be found on the Box or MCO (Manufacture Certificate of Origin)

Other:*

Model:*

Model Number can be found on the Box or MCO (Manufacture Certificate of Origin)

Other:*

Model:*

Model Number can be found on the Box or MCO (Manufacture Certificate of Origin)

Other:*

Model:*

Model Number can be found on the Box or MCO (Manufacture Certificate of Origin)

Other:*

Model:*

Model Number can be found on the Box or MCO (Manufacture Certificate of Origin)

Other:*

Other:*

Model:*

Color
Date of Purchase*
First Name*
Last Name*
Country*
Address*
City or Town*
State/Province/County*
Zip*
Phone*
Email

Dealer or consumer: check the box if item is in good working order. Check Abnormal if the item is not in good working order. Use N/A on items not applicable to the model being inspected.

Inspection

OK

Abnormal

N/A

Inspection

OK

Abnormal

N/A

Inspection

OK

Abnormal

N/A

Engine O/A

Light

Tires

Starting:

Tail Light:

Tires Front L/R:

Idle:

Brake Light:

Tires Rear L/R:

Throttle Up:

Left Signal F/RR:

Body Panels:

Throttle DN:

Right Signal F/RR:

Engine Oil Level:

Shut Off:

Head Light H/L:

Gear Oil:

Transmission

Instruments

Transmission Oil:

Shifting:

Speedometer:

Coolant:

Reverse:

Tachometer:

Owner's Manual:

Front Free Spin:

Odometer:

Optional Equipment:

Rear Free Spin:

Gas Gage:

Front Brake

Indicators:

Rear Brake:

Horn:

Dealer is required to test drive the vehicle before you take delivery to verify the items listed above are functioning properly or you may enter any notes here as well:

IMPORTANT NOTE TO DEALERS AND CONSUMERS: During assembly, you must drain all shipping fluids and replace them with a quality U.S. branded fluids. This includes engine oil, gear oil and coolant. Failure to replace the fluids with U.S. branded fluids may result in loss of warranty! Screws, nuts and bolts should be checked before each ride. It is advisable to use a product such as “Loctite?on screws that tend to back out. If you are dealer, you must contact your sales rep for instructions on obtaining warranty items. If you are a consumer, you must contact the dealer where you purchased from. Telephone tech support is offered to dealers only.

  *I have read and understand SSR Motorsports Factory Limited Warranty.


  Submit Date: 10/3/2010
  Your IP address: 38.107.191.111

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