Trailer repair request

Vehicle intake form — to be completed by the customer. Fields marked with an asterisk are required.

1

Customer details

Company name / full name

Address

VAT ID

Person handing over the vehicle

Phone

E-mail

2

Trailer details

Make

Type / model

Registration number

VIN

Year of manufacture

Fleet / internal number

3

Fault description

What is wrong with the trailer? Describe the symptoms, when they occur and since when.

4

Photos

optional

Photos of the fault, warning lights or the data plate

Video link

Up to 8 photos, max 8 MB each. Videos cannot be uploaded directly — upload the recording to a drive or WeTransfer and paste the link in the field above.

5

Suspected area

optional

What might the fault relate to?

Braking system / EBS / ABS Suspension Air system Electrical system / lighting Axles / hubs / bearings Axle lift system Body / frame / superstructure Refrigeration unit / hydraulics / other

6

Date and contact

Preferred intake date

Preferred contact method

Additional notes

7

Declarations and consents

I consent to the diagnostics and repair being carried out in line with this request and declare that I am the owner of the vehicle or hold authorisation to submit it for repair.

I consent to a test drive, functional test and computer diagnostics if these prove necessary.

I consent to the use of original parts or replacements of equivalent quality.

I acknowledge that additional faults may come to light during the repair, and that I will be informed of their scope and cost before any further work is carried out.

I consent to the processing of the personal data and materials (photos) provided by POLCAR for the purpose of handling this service request (in accordance with GDPR).

Prefer to talk? Call: +48 506 128 320 — Mon–Fri 7:00–18:00, ul. Nadrzeczna 1, 42-262 Kolonia Poczesna, Poland.

Contact us

Working hours:
Monday – Friday: 7:00 a.m. – 11:00 p.m.
Saturday: 7:00 a.m. – 3 p.m.

Phone number:
506 128 320

Address:
Nadrzeczna 1,
42-262 Kolonia Poczesna

Set the route

Commutation

Execution: BeonTopAgency.pl

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