General Motors CP4 Fuel Pump Litigation

General Motors CP4 Fuel Pump Litigation

Intake Questionnaire for Review of a Claim against GM for current and former owners of 2011-16 Chevrolet Silverado and GMC Sierra trucks equipped with the 6.6L Duramax diesel engine
Please do not fill out this form unless you had a fuel pump repair
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
VIN Number of Affected Vehicle*
Vehicle Model Year*
6.6L Duramax Vehicle Owned*

Chevrolet SilveradoGMC Sierra
Did you purchase or lease a 2011-2016 Chevrolet Silverado or GMC Sierra equipped with a 6.6L Duramax diesel engine?*

YesNo
Did you purchase or lease the vehicle in a state other than California, Florida, Illinois, Iowa, New York, Pennsylvania, or Texas?*

YesNo
Vehicles purchased in California, Florida, Illinois, Iowa, New York, Pennsylvania, or Texas are part of a class action settlement and do not qualify for an individual claim unless an individual opted out by the class deadline.
What state did you purchase or lease the vehicle?*
Did you purchase the vehicle or lease it?*

Purchase (financed or outright purchase of vehicle)Lease (short-term contract to use vehicle)
Did you purchase/lease your vehicle from a GM–authorized dealer?*

YesNo
Please list the name of the dealership/entity where you retained the vehicle
Seller Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Purchase Price*
Estimated Date of Purchase/Lease Start*
Do you still own the vehicle?*

YesNo
Did you have a problem with your fuel pump?*

YesNo
Please describe the fuel pump problem: (i.e., power loss, whining noise from fuel tank, engine sputtering, low fuel pressure, etc.)*
Approximate date of repair*
Please list the names and addresses of the dealerships and/or mechanics where the repairs were made:*
Cost of repair
Out of pocket costs
Was repair covered by warranty?*

YesNo
Any problems after the repairs made?*

YesNo
All claims will require supporting documentation, including proof of purchase and proof of repair.

All documents should be emailed to auto@sternlawonline.com or a copy of the documents mailed to Stern Law, 41850 W. 11 Mile Rd, Suite 121, Novi, MI 48375
Should be Empty: