The COALITION for COLLISION REPAIR EQUALITY CAPA Complaint Form

The
COALITION for COLLISION REPAIR EXCELLENCE

C.C.R.E.

CAPA Complaint Form

By completing theCCRE complaint form to CAPA you will be making a traceable record (at both CAPA and theCCRE) as to your specific experiences with CAPA "Certified" parts. theCCRE will be keeping a separate database of all the information collected from this form and will be making this data available to any qualified independent investigative entities (Attorney's, Journalists, Legislators, etc.) or involved participants wishing this information.

theCCRE recommends you print this form for your records before you prompt the "send complaint" button.

Date:

May we release your name to the manufacturer? Yes No

Car Make:
Car Model:
Year of Car:

Please select type of part (select one only):

Bumper Cover Front	Hood
Bumper Cover, Rear	Lamp Cover
Door Shell Left	Quarter Panel
Door Shell, Right	Radiator Support
Fender, Left	Side Molding
Fender, Right	Tail Gate
Grille	Truck Bed
Header Panel	Trunk Lid
Headlight Bezel

Please supply the following information about the part:

CAPA Manufacturer:
CAPA Part Number:
Lot Number (Stamped on Part):
CAPA Seal Number:
OEM #:

You are a:

Collision Repairer

Distributor

Insurance Adjuster

Other (specify):

Please supply the following information about yourself:

Your Name:
Your Company:
Address Line 1:
Address Line 2:
City:
State:
Zip:
Phone:
Fax:
Email:

Please supply the following information about the part's distributor:

Distributor Name:
Address Line 1:
Address Line 2:
City:
State:
Zip:
Phone:
Fax:
Email:

What was wrong with the part? (Give details below. Select as many as you like.)

Adhesive - Too Much
Adhesive - Too Little
Appearance - Ripples
Appearance - Dings
Appearance - Mold Overflow
Body Line - Poor
Contour - Poor (Corners & Edges Poorly Formed)
Cut - Poor (Light or Grille Cut Our Location)
Gap - Inconsistent
Gap - Too Wide
Fit - Poor
Not Flush with Adjacent Parts
Grind Marks Evident
Holes/Brackets - Poorly Placed
Holes/Brackets - Wrong Size
Installation (Significantly Exceeded Book Time)

Length - Too Long
Length - Too Short
Latch Problems
Packing Inadequate
Paint - Inconsistent
Paint - Doesn't Adhere Well
Seal Missing
Shipping Damage Evident
Studs - Inappropriate Location
Surface - Wavy
Width - Too Wide
Width - Not Wide Enough
Welds - Missing
Welds - Weak
Welded Fastener - Inappropriate Location

Location of Problem/Comments/Other:

Is the part available for inspection, if necessary? Yes No

Are Photos Available? Yes No

Did you return the part to the distributor? Yes No

Did you end up using OEM to complete this job? Yes No

Was this part recommended by an insurance company? Yes No

If "Yes" . . . Please provide - Name of Insurance Company:

Thank you for completing theCCRE complaint form to CAPA.
Press the "send complaint" button to finish.

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