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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.