Answer The Following Question. Have you received any payment, credit, or reimbursement for any part of the amount that you paid for the tire rotation(s), from any other source, including from any warranty, carefree maintenance program, goodwill coupon or reduction, or other full or partial reimbursement or refund (for example, by a Volkswagen dealership, a tire company such as Continental Tire North America, Inc., or any insurance, extended warranty or service contract or other source)? YES NO If you answered YES, list the total amount of the cost for which you received a payment, reimbursement, coverage, concession or credit: $
Answer The Following Question. For the amount of the repair cost for which you are seeking to be reimbursed, did you receive any payment, credit, coverage, concession, or reimbursement for all or any part of that amount from any other source, including from Audi, any warranty, maintenance program, goodwill, coupon or reduction, or other full or partial reimbursement or refund (for example, by an Audi dealership or any insurance company, under any extended warranty or service contract, or by any other source)? Yes No If you answered YES, list the total amount of the cost for which you received a payment, reimbursement, coverage, credit, or concession: $ ●
Answer The Following Question. For the amount of the repair cost for which you are seeking to be reimbursed, did you receive any payment, credit, coverage, concession, or reimbursement for all or any part of that amount from any other source, including from VW, any warranty, maintenance program, goodwill, coupon or reduction, or other full or partial reimbursement or refund (for example, by a VW dealership or any insurance company, under any extended warranty or service contract, or by any other source)? Yes No If you answered YES, list the total amount of the cost for which you received a payment, reimbursement, coverage, credit, or concession: $ ●
