This form must be reviewed with your DSPM who will foreword it to the National Warranty List here any accessories that my impact repair time Department for review and resolution Isuzu Use Only Isuzu Commercial Truck of America (Isuzu) Isuzu Request for Flat Rate Time Review Other_______________________________________________________ Hours___________ VIN_____________________ Tech ID #______________ Dealership ________________________________Dealer Code____________ Model Affected___________________________________________________ Operation Description______________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Operation Not Listed Operation Description Incorrect Not Enough Time Allowed Additional Work is Required How much time does it take your Technician to perform this repair?
Date____________ Submitted by_______________________ Address________________________________________ Operation Number___________________ Review is requested because: Describe the repair process: 07/26/2007