Ford Mustang MT-82 Case Questionnaire
The below questionnaire is intended for current and former owners of 2011-19 Ford Mustangs equipped with manual transmissions. Please complete the following brief questionnaire to better explain your ownership experience for our lawyers as we review your claim.
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
State Vehicle Was Purchased
*
Year of Mustang
*
2011
2012
2013
2014
2015
2016
2017
2018
2019
VIN Number
*
Was Your Vehicle Bought New or Used?
*
New
Used
Approximate Purchase Date
*
Approximate Purchase Price
*
Approximate Mileage on Vehicle at Time of Purchase
*
Ownership Status
*
Currently Own
No Longer Own
How Many Transmission Repairs Were Done While You Owned the Vehicle?
*
0
1
2
3
4
5
6+
If No Longer Owned, Date of Sale
Was the Need for a Transmission Repair the Cause of You Selling Your Vehicle?
*
Yes
No
N/A - Still Own
Approximate Mileage of Vehicle at the Time of Sale (Put N/A If You Still Own)
*
Were You Denied a Transmission Repair While Your Vehicle Was Under Warranty?
*
Yes
No
If You Still Own the Vehicle, Has the Cost of an Additional Transmission Repair Prevented You From Having this Service Done?
*
Yes
No
N/A - No Longer Own
Please Explain the Circumstances Surrounding Your Choice to Sell Your Vehicle? (If you still own the vehicle, simply respond N/A)
*
Had You Known About the Repeated Failures of the Mustang MT82 Transmission, Would You Have Purchased the Vehicle?
*
Yes
No
Any additional notes or comments you would like our office to know?
BY SUBMITTING THIS FORM YOU AGREE TO THE TERMS AND CONDITIONS LINKED
HERE
Submit
Should be Empty: