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Filling out the application for a refund of roadside assistance service expenses is a straightforward process. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete your refund application form.

1. Click ‘Get Form’ button to access the application and open it in your preferred editing tool.
2. Begin by entering the member’s name in the designated field.
3. Provide your full address including street, city, state, and zip code.
4. Fill in your telephone numbers, indicating your home, work, and cell numbers.
5. Enter your email address for correspondence purposes.
6. Input your AAA membership number and the expiration date.
7. Document the date service was rendered and the corresponding time.
8. Detail the type of vehicle, including make, model, and year.
9. Describe the location of the disablement as precisely as possible.
10. Identify the nature of the trouble by checking the applicable option (e.g., jumpstart, tire change, etc.).
11. Explain the method through which you acquired assistance by selecting one of the provided options.
12. If AAA's hotline was not contacted, provide a brief explanation for this choice.
13. Indicate whether you were driving or riding in the vehicle at the time of the breakdown.
14. Confirm if you were present when the service driver arrived and whether you provided your membership card.
15. State whether your vehicle was involved in an accident or was towed, and provide details as needed.
16. Document the amount paid for emergency roadside assistance and attach the original receipt.
17. Include any additional comments or information that may be relevant to your claim.
18. Finally, date the form and provide your signature to validate the application.

Complete your application for a refund online today!