KSAP Labor Claim Request Form h Salesperson Warehouse Date Customer Contact Address Acct# Phone# City State Zip Fax# E-mail Address Labor Rate Per Hour: $ VEHICLE INFORMATION: Year Make Model VIN# Engine Displacement Auto/Manual Trans 2WD/4WD/AWD Select One (required) 2WD 4WD AWD Mileage At First Repair Date of First Repair Mileage At Second Repair Date of Second Repair Mileage At Third Repair Date of Third Repair Original Tech`s Name FAILED PART: Manufacturer Part# Associated Parts Description Of Failure (Required) REQUIRED COPIES: Original RO Repair RO Tow Bill Disclaimer * Please note, to be considered for a labor claim, a customer must average $1500 in monthly purchases. ** Customer account must be in good standing. To prove you are a human, please tell us which can you ride? Please answer question. Horse Goose Walnut Please wait. Your request is processing.