Remote Experts (R.Ex.) Booking Form

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Business Name: *

Billing Address: *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Job Address Different to Billing Address?

Job Address: *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Business Phone Number *

Invoicing Email *

Additional Email

Any additional emails that need to be CC’d? (eg. Reports, invoicing etc) Leave blank/skip if not required

Additional Email 2

Any additional emails that need to be CC’d? (eg. Reports, invoicing etc) Leave blank/skip if not required

Job Number / Purchase Order Number: *

Technician/Job Contact

Name *

First

Last

Mobile Number: *

Vehicle Information

Make *

Model *

Model Code

Manufacture Year *

Picture of VIN Plate *

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera You can upload up to 4 files.

Camera Preview

Registration Plate *

Service/s Required

Select All Service/s Required *

Gateway Unlock
New Module Coding
Calibration
Scan
Technical Assistance

New Module Coding *

Front Radar
Blind Spot - Passenger Side
Blind Spot - Driver Side
Headlights
Airbag
Steering Rack
Engine
Transmission
Instrument Cluster
Front Lane Departure Camera
Parking Sensors - Front
Parking Sensors - Rear
Seatbelts
Steering Column
Front Corner Radar - Passenger Side
Front Corner Radar - Driver Side

Calibration *

Front Radar
Corner Radar
360
BSM
Parking Sensors
Lane Departure Warning
Laser Scanner
Reverse Camera

Scan *

Pre-Scan
Post-Scan
Diagnostic Scan

Technical Assistance

(Please Be as Detailed as possible. The more detail you can provide, faster we can understand all factors and help you)

Customer’s Complaint *

Describe Issue in full *

What diagnostics/Repairs have been carried out up until now? *

When did the issue first occur? *

Any Aftermarket Accessories/Modifications

eg Bullbar, Lifted or Lowered, Canopy/Tray Back

Select All Aftermarket Accessories/Modifications That Apply

Lift Kit
Lowered
Bullbar
Towbar
Aftermarket Canopy/Trayback
Larger Tires/Rims

Pre-Scan Report *

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera You can upload up to 5 files.

Camera Preview

Upload a Single PDF or Screenshots of each page (We prefer a PDF)

Job/Repair Sheet (All Pages)

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera You can upload up to 6 files.

Camera Preview

Pictures/Screenshots of ALL pages please

Pictures of Vehicle/Issue Area

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera You can upload up to 10 files.

Camera Preview

Pictures can tell a thousand words. Please attach any useful pictures of area of concern (Any detail photos eg radar mounted, suspect wiring, etc)

Connection Tool Appointment Creation

Tool/Remote Connection System

Launch (SmartLink Remote Diagnose)
Autel (Remote Expert)

Have you now made an appointment on Launch SmartLink Remote Diagnose? *

Please create this appointment NOW before proceeding further with this booking

Have you now made an appointment on Autel (Remote Expert)? *

Please create this appointment NOW before proceeding further with this booking

Additional Pictures Job/Repair

Supporting Information & Attachments

Accident/Crash Information

What happened to this car? eg. Area/s of impact

What’s Been Removed, Repaired, Re-installed or New

Please be as detailed as possible eg. (Front bar removed, radar bracket was bent, new radar fitted, new bumper painted and reinstalled)

Any Other Useful Information?

What have you tried already?

Job/Repair Sheet (All Pages)

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera You can upload up to 5 files.

Camera Preview

Upload a Single PDF or Screenshots of each page (We prefer a PDF)

Pictures of Vehicle/Issue Area (Pre-Repair)

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera You can upload up to 5 files.

Camera Preview

Remote Experts (R.Ex) Booking Form

Technician/Job Contact

Vehicle Information

Service/s Required

Technical Assistance

Connection Tool Appointment Creation

Supporting Information & Attachments