Designated Inspection Facility

BRAKE SYMPTOMS CHECKLIST FORM

Please fill out the online service form below. A company representative will review your information at the service centre located in Function Junction.

Please fill in all form fields. Only the Name and Telephone fields are mandatory.

CONTACT INFORMATION
   
First Name:
 *
Last Name:
 *
Telephone:
 *
Email Address:
License Plate:
Vehicle Model:
   
BRAKE SYMPTOMS CHECKLIST
   
Does your car stop OK?
   
The brake pedal seems?
(Hold CTRL key to select multiple)
   
Does the vehicle?
(Hold CTRL key to select multiple)
   
Do the brakes?
(Hold CTRL key to select multiple)
   
The emergency parking brake?
(Hold CTRL key to select multiple)
 
Has the brake fluid been added to in the last 6 months?
 
Have the brakes been flushed and bled in the last 6 months?
 
Is dash brake light on?
 
Last time brakes were serviced and repaired?
   
Additional Information: