File a Vehicle Safety Complaint

NOTE: If you do not have an email address, or cannot fill in a required field, please phone the Vehicle Safety Hotline
(Toll-Free: 1-888-327-4236 / Hearing Impaired (TTY): 1-800-424-9153) for assistance.
Form Approved: OMB No. 2127-0008; Expires 05/31/2018

Please complete each section and then click on the "Verify your entries" button at the bottom.

* = required field

Help

1. Vehicle Information

Test your VIN
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Enter your vehicle Make, Model and Model Year separated by spaces (e.g., MakeName ModelName 2003). After three characters possible matches may be shown and can be selected to complete your entry.

2. Incident Information

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For multiple incident dates enter the first date of occurrence.
Was there a Crash?
Was there a Fire?
Was there an Injury or Fatality?

For multiple incidents, enter the first failure mileage
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Select up to three parts
* Enter up to 1900 characters
WARNING: This description, exactly as you enter it, may appear in a public NHTSA database. Do not include any personal information (name, street/email address, phone number, social security/driver license number, Vehicle Identification Number (VIN), etc...).
 ( 1900  characters left )

3. Personal Information

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All the information that you submit to NHTSA will be transmitted using secure mechanism.
Paperwork Reduction Act Burden Statement: A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act, unless that collection of information displays a current valid OMB Control Number. The OMB Control Number for this information collection is 2127-0008. Public reporting for this collection of information is estimated to be approximately 15 minutes per response, including the time for reviewing instructions, completing, and reviewing the collection of information. All responses to this collection of information are voluntary. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: Information Collection Clearance Officer, National Highway Traffic Safety Administration, 1200 New Jersey Avenue SE., Washington, DC 20590.