*1.Henna Chevrolet Invoice Number(Required.)

*2.Part number(Required.)

3.Repair Time Requested 

4.Amount for Repair

5.Notes (If it is a manufacturing defect please write what is wrong below)

6.Location of Issue (Refer to Location Codes HERE)

1U-Upper/Right Front Corner

2U-Upper/Right Front Center

3U-Upper/Right Back Center

4U-Upper/Right Back Corner

1M- Middle Front Edge

2M- Middle Front Center

3M- Middle Back Center

4M- Middle Back Edge

1L- Lower/Left Front Corner

2L- Lower/Left Front Middle

3L- Lower/Left Back Middle

4L- Lower/Left Back Corner

7.TYPE OF ISSUE

BENT

LOW SPOT

SCRATCH

CRACK

PIMPLE

UPDING

DENT

ROLLED CORNER

WAVY

HIGH SPOT

ROLLED EDGE