Get Roadside Assistance (rsa)

This guide provides detailed instructions on how to complete the Roadside Assistance (RSA) refund application online. Ensuring all necessary information is accurately filled out will help facilitate a smooth refund process.

Follow the steps to complete your RSA application online.

1. Click ‘Get Form’ button to access the RSA refund application and open it in your preferred editor.
2. Fill in your membership information. Include your membership number, expiration date, street address, name, city, state, ZIP code, email address, day phone, and home phone.
3. Provide the service information. Specify the name of the facility that provided road service and indicate whether you called AAA for assistance, selecting 'Yes' or 'No'. If you did not call, explain why.
4. Enter the date and time of service, as well as your location at the time of service. Describe the type of disablement (e.g., breakdown) and provide the telephone number you used for assistance.
5. Indicate whether you signed a AAA service ticket and if a valid AAA membership card was presented during the service. Provide details about the service rendered (e.g., battery jump, tire change, tow).
6. Specify the type of disabled vehicle, including the year, make, and model. If you were charged for any reason, select the appropriate option and provide the exact location of the disablement.
7. Complete the section for distance traveled by the service truck to the scene and the amount paid for the service. Include the time spent by the service truck at the scene.
8. Fill in any additional information, including where the vehicle was towed if applicable and the number of miles towed. Review your entries for accuracy.
9. Read the verification statement and confirm that all information provided is accurate. Provide your signature and date.
10. Once all sections are filled out, save changes, and download or print the completed form. Be sure to include all original receipts and mail them within 60 days of service to the address provided.

Complete your RSA application online today to ensure you are reimbursed efficiently.