Use this form for each repair performed on your VW. For multiple repairs, reset the form and submit as many times as necessary to enter all repairs. (TAB between fields.)
Enter the part of your email address. This is required to link with your vehicle data that you should have already entered.
@ * required fields
If you registered more than one VW, you must select the year and model. (Otherwise skip these fields.)
Year: Year 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 Model: Model Cabrio EuroVan Golf Jetta New Beetle Passat Phaeton Toureg Number you assigned: (Use only if more than one VW of same year and model.)
Enter the date of repair and miles on odometer when repaired :
date: -- mm/dd/yy odometer miles
Select the category of repair :
Select one of eighteen repair categories... 1. Air-conditioning 2. Body Hardware (wipers, locks, windows, seat belts) 3. Body Integrity (rattles, squeaks, seals, water or wind leaks 4. Body Rust (corrosion, pitting) 5. Brakes (front or rear, hydraulics, ABS, parking brake) 6. Clutch 7. Drive axle (CV joints, wheel bearings, drive shaft) 8. Electrical System (alternator, battery, dash instr, horn) 9. Engine Cooling (radiator, heaters water pump, therm, hoses) 10. Engine Mechanical (belts, oil leaks, overhaul, bearings) 11. Exhaust System (mufflers, catalytic converter) 12. Fuel System (injectors, sensors, fuel pump, tank, emissions) 13. Ignition System (Spark plugs, coil, distributor, sensors) 14. Paint and Trim (peeling, fading) 15. Steering/Suspension (power steering, allignment, shocks) 16. Transmission (linkage, leaks, failure) 17. Tires (premature wear, uneven wear, belt seperation) 18. Periodic Maintenance (service other than oil changes) *required to select one
What was the approximate cost of the repair? $ (nearest dollar)
Who performed the repair? Select one... VW Dealer Independent Shop Repaired by Owner *required to select one
Provide a brief description of repair and any pertinent details. (Use a feedback form to supply more details if necessary.)