Ford Roof Crush Class Action

Form Name

Created

First Name*

Last Name*

Email*

Phone Number*

Address

City*

State*

Zip*

Have you experienced a roof crush accident?*

Were you or others injured?*

Briefly describe injuries

Super Duty model*

If other, enter model*

Year of vehicle*

Purchase or lease?*

Date of purchase or lease*

City of purchase/lease*

State of purchase/lease*

Dealership or private seller?*

Dealership name

Do you still own the vehicle?*

Current mileage*

Upload relevant documents or photos for the legal team's review.

Additional Information

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