Win Lemon Law

1
What car problem are you having?
Transmission
Engine
Electrical
Brake
Other Issue
2
How many times have you taken your car to the dealership for repair?
3+
2
1
0
3
What year is your car?* This field is required.
2025
2024
2023
2022
2021
2020
2019
2018 or older
4
What's the Make & Model of your car? For example, Ford Fusion
The number of characters should not be less than the minimum value: 6.
5
In what state did you get your car from?
Please Select
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
6
What's your name?* This field is required.
First Name
Last Name
7
What's your email?* This field is required.
example@example.com
8
What is the best phone number to reach you directly?* This field is required.By submitting this form, you consent to WIN Lemon Law's Privacy Policy and agree we and our third-party affiliates can contact you by phone, text, or email, even if your number is on a do-not-call list. You're not required to purchase anything.
Area Code
Phone Number
9
10
Should be Empty: