ALLG Online Case Assessment

1

Did you purchase or lease your car in California?* This field is required.

YESNO

2

Were you an active member of the military when you owned or leased the car?* This field is required.

YESNO

3

Was your car new, certified pre-owned, or leased?* This field is required.

New

Certified Pre-Owned

Leased

Used

5

What is the make and model of your car?* This field is required.

6

Before your car's warranty expired, how many times did you take your car to the dealership for the same problem? (Dealership does NOT mean a third-party mechanic like Pep Boys or Jiffy Lube)* This field is required.

0

1

2

3

4 or more

7

Has your car been at a dealership for a total of 30 days or more for all your repairs?* This field is required.

YESNO

8

Please describe the main problems with your car.

9

Full Name* This field is required.

First Name

Last Name

10

Email* This field is required.

example@example.com

11

Phone Number* This field is required.

Please enter a valid phone number.