Get Reimbursement Form - Protege Faq

This guide provides clear instructions on how to properly complete the Reimbursement Form for the 2010 Mazda3 Emission Harness Voluntary Safety Recall. It is designed to assist you in navigating each section of the form and ensuring that your reimbursement request is submitted correctly.

Follow the steps to complete the reimbursement application form effectively.

1. Press the ‘Get Form’ button to access the Reimbursement Application Form. This action will open the form in your preferred online editor, allowing you to fill it out digitally.
2. Begin by entering your personal information. This includes your first, middle, and last name, state, zip code, and full address (street address and city). Ensure all entries are clear and legible.
3. Next, provide your contact information. Input your home and work phone numbers for any correspondence related to your application.
4. Enter your vehicle identification number (VIN), which contains 17 digits. Make sure this is accurate, as it links your application to your vehicle.
5. In the section labeled 'Total Amount of Reimbursement Requested,' input the total reimbursement amount you are claiming, specifying both dollars and cents.
6. Read the instructions regarding the General Release thoroughly. Fill in your VIN again in the designated space to reaffirm your claim.
7. Sign and date the General Release section below your entries. This step confirms that you are submitting your claim for reimbursement and releasing Mazda from any future claims regarding this matter.
8. Before finalizing, review all entered information for accuracy and completeness. It is crucial to ensure no fields are left incomplete.
9. Once completed, you can save your changes, download the document, or print it out for further action.

Complete your documents online today to ensure your eligibility for reimbursement.