
Automobile Product Defect Report Guide
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6. Whether or not you contact the manufacturer or the State’s administrative department in charge of
the recall of defect product:
A.Yes B.No
7. Traffic accident description
Whether or not the collision or fire occurs:
Which air bag it explodes:
Number of Injuries and Deaths:
Estimated direct economic loss:
Others:
8. Tire problem description (if applicable):
The Owner (Stamp)
Date