Ford Transmission Stern Law Interview

Ford Focus/Fiesta Transmission Arbitration Intake

While we prefer to initially speak with all Ford transmission clients on the phone, we understand your daytime hours may be limited. As a result, we have created this simple intake form to quickly let us know the details about your vehicle and to start your claim for compensation against Ford for their defective transmission. Questions? Call (844) 808-7529.
Note: If there is more than one person on the title, please put the first full name in as "First Name" and the second person in as "Last Name." If you have or formerly owned more than one vehicle that fits this mass action effort, be sure to fill out the form below for EACH of your vehicles.
Name*

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
Vehicle Model*
Vehicle Year*
Still Own?*
Mileage
PurchasedLeased
YesNo
State Purchased*
NewUsed
Date Purchased/Leased*

MonthDayYear
Dealer Information

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
VIN Number*
Please confirm the Total Number of Repairs Performed Under ORIGINAL Warranty for Transmission*
Number of Repairs Performed TOTAL for Transmission*
How many transmission part replacements were done on your vehicle before 60,000 miles?*
YesNo
YesNo
Additional Repairs Not Related to Transmission*
Were you ever refused a repair or turned away when complaining of the defective issue? If so, describe*
Other Notes
Should be Empty:

Ford Focus/Fiesta Transmission Arbitration Intake