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General Motors Request

Please enter the following information for wheel refinish services. For questions, please call AWRS Claims at (877) 743-2977.

Information marked with an asterisk (*) are required fields.

    DEALERSHIP BUSINESS ASSOCIATE CODE (BAC) NUMBER *

    DEALERSHIP REPAIR ORDER # (required) *

    GM DEALER NAME *

    GM DEALER CONTACT NAME *

    GM DEALER ADDRESS *

    Street Address Line

    Street Address Line 2

    City

    State

    Zip Code

    Country

    GM DEALER CONTACT #

    Area Code

    Phone Number

    GM DEALER EMAIL *

    VEHICLE YEAR, MAKE, & MODEL *

    VEHICLE IDENTIFICATION NUMBER (VIN) *

    DATE VEHICLE AVAILABLE FOR REPAIR *

    WHEEL RPO
    Note: Refer to RPO Wheel Refinishing Guide prior to submission

    WHEEL SIZE

    WHEEL LOCATION – Please select Yes or No for each wheel *

    LF

    RF

    LR

    RR

    DESCRIBE CUSTOMER CONCERN *

    COMMENT

    List any additional information relevant to the refinishing.

    IMAGE UPLOAD *

    1. Provide full view of wheel with defect area high-lighted and vehicle position (for example via stick-on note with LF and arrow on it). 2. Provide close-up view with defect area high-lighted and vehicle position.