Powertrain Limited Warranty Inspection
Fifteen Year Inspection Interval
Powertrain inspected
_________________
_____________
Odometer Reading
____________
_____________
Repair Order #
_____________________________________________
Authorized Dealership Name
_____________________________________________
Print Name of Authorized Dealership Personnel
_____________________________________________
Signature of Authorized Dealership Personnel
Date
Dealer Code
Powertrain Limited Warranty Inspection
Twenty Year Inspection Interval
Powertrain inspected
_________________
_____________
Odometer Reading
____________
_____________
Repair Order #
_____________________________________________
Authorized Dealership Name
_____________________________________________
Print Name of Authorized Dealership Personnel
_____________________________________________
Signature of Authorized Dealership Personnel
Date
Dealer Code
15