Ironman 4x4 UCA Recall Claim Form

Global Location*

Location in Oceania

Location in Africa

Which state are you located in?

Location in Asia

Which state are you located in?

Location in Europe

Which state are you located in?

Location in North America

Which state are you located in?

Location in South America

Which state are you located in?

State in Australia

Which state are you located in?

State in USA

Which state are you located in?

State in Canada

Which state are you located in?

Your Details

Business Name *

Account Number*

Contact Name*

Contact Number*

Contact Email*

example@example.com

Product Details

Select UCA to suit Vehicle*

UCA001FA to suit either the Toyota Hilux/REVO 2005+, Tacoma 2005+ or Fortuner 2004+ has been selected. Could you please confirm whether these arms are required or if the UCA002FA for Toyota Prado 120, 03-09/Lexus GX 470, Prado 2009+/Lexus GX460, FJ Cruiser 2006+ or 4runner 2003+ should be selected?

Yes - the UCA001FA Upper Control arms are requiredNo - the vehicle is a Toyota Prado 120 03-09/Lexus GX 470, Prado 2009+/Lexus GX460, FJ Cruiser 2006+ or 4runner 2003+ and UCA002FA should be selected.

Please select UCA002A to suit Toyota Prado 120 03-09/Lexus GX 470, Prado 2009+/Lexus GX460, FJ Cruiser 2006+ or 4runner 2003+ in the drop down menu reqesting "Select UCA to suit Vehicle".

Suspension Installation Form (if available)

Vehicle Details

Registration number

Vin

Image of VIN plate

Approx. date of original install of UCA

Date

KM's since install

Please select what is required

Replace (Complete Upper Control Arm)Repair (Replace Ball joints)

What stage of replacement is the vehicle in?

Check completed - vehicle on the road and parts requiredVehicle currently off the road - awaiting partsUpper Control Arm replacement completedBall Joint replacement - Upper Control Arm repair completed

LABOUR CLAIM FOR COMPLETED CHECK

If available, please upload your Invoice for the Labour to complete the check.

Invoice Total

REPLACEMENT & REPAIR COMPLETED

Has this form previously been complete for a triage/inspection of this vehicle?

YesNoUnsure

REPLACEMENT & REPAIR COMPLETED - YES

What was the original Recall Claim ID?

Please enter the Recall Claim ID from the original submission, when the vehicle was checked.

REPLACEMENT COMPLETED

Has the Upper Control Arm been destroyed?

YesNo

REPLACEMENT COMPLETED - NOT DESTROYED

To proceed with the form below, you need to destroy the Upper Control Arms and take a photo of the final pieces. You can find instructions on this below.

https://www.dropbox.com/s/lhjdrki6m2vyaix/FM-RC-12_IM4x4-RECALL-DecommissioningProcess.pdf?dl=0

REPLACEMENT COMPLETED - DESTROYED

Image of destroyed Upper Control Arms

REPLACEMENT COMPLETED - ALL REPLACEMENTS

Date replacement was completed

Date

Please upload your Invoice for the Labour to replace the Ball Joints, fit the repaired Upper Control Arms to the vehicle and complete a wheel alignment.

Invoice Total (Parts, Labour and Wheel Alignment).

Please upload an image of the Upper Control Arms with replaced Ball joints.

REPAIR

Did you source the replacement Ball Joints or were you supplied a replacement Ball Joint by an Ironman 4x4 facility?

Sourced ourselvesSupplied by Ironman 4x4 facility

REPAIR - SELF SOURCED

Please upload the 3rd party invoice for the Ball Joints purchased to repair the Upper Control Arms

Total cost of the Ball Joints

Brand of replacement Ball Joint

Please list the brand used to repair the Upper Control Arm

Product number of Replacement Ball Joint

Please list the part number/sku/product number of the replacement ball joint used to repair the vehicle

ALL REPAIR CLAIMS

Please upload an image of the Upper Control Arms with replaced Ball joints.

Please upload an image of the Repaired Upper Control Arm fitted.

VEHICLE OFF ROAD

Please upload images of the current Upper Control Arm, Ball Joint and Suspension Fitment.

COMPLETED INSPECTION & VEHICLE OFF ROAD

Customers Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

If replacement or repair components are required, please advise delivery address for parts

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

ALL

Any additional Information

Any Additional Documentation

*

By selecting this you acknowledge and accept that you have carried out the Upper Control Arm Ball Joint Recall (PRA2023/19860) and the associated Upper Control Arms have been correctly disposed of as per the Ironman 4x4 Recall documentation.

*

By selecting this you acknowledge and accept that you must carry out the Upper Control Arm Ball Joint Recall (PRA2023/19860) and the associated Upper Control Arms disposal as per the Ironman 4x4 Recall documentation.

If this vehicle sine had the recall completed and another claim submitted, please supply the claim number below:

Claim Status

With AccountsCredit CompleteCancelled

When stock required

pick slip printed - stock in picking, acknowledgement sent to distStock invoiced (has been is about to be shipped)Claim in system - awaiting stock before release from B/OStock no longer required

Vehicle Progress for Checked vehicles

Stock sentVehicle completed on separate claim

For assistance from Ironman 4x4 America, please go to:

https://ironman4x4america.com/recall/

Where you can fill out the short survey to begin the process for the replacement.