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File a Tires, Equipment or Child Seat Safety Complaint

Form Approved: OMB No. 2127-0008; Expires 05/31/2018

Filling out this form

Information needed

Below is a list of items you will need for each type of Complaint.

  • Tires

      • Tire information needed
        • Tire Brand
        • Tire Line
        • Tire Size, (e.g., P275/75R16 89H)
        • Component*
        • DOT Number (Tire Identification Number) (Optional, but very important)
      • Vehicle information needed
        • Model Year
        • Make
        • Model
        • Component*
        • Vehicle Identification Number (VIN) (Optional, but very important)
          Found on registration or insurance card.

      * Component -- Part or system of concern

  • Equipment

      • Make
      • Model
      • Component *

      * Component -- Part or system of concern

  • Child Restraints

      • Make
      • Model Number
      • Type (only appears with some makes)
      • Date of Manufacture
      • Component*

      * Component -- Part or system of concern

  • Consumer

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All the information that you submit to NHTSA will be transmitted using a secure mechanism

The Privacy Act of 1974 - Public Law 93-579, As Amended: This information is requested pursuant to the authority vested in the National Highway Traffic Safety Act and subsequent amendments. You are under no obligation to respond to this questionnaire. More...
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, More...

Complaint Information

Form 0% complete.

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Curent step in VOQ process
*Denotes required field
  Details   Complaint Type  
Narrative Description of Incident(s), Crash(es), and Injury(ies).
Please describe to the best of your knowledge:
  1. The events leading up to the failure,
  2. the failure, how often it occurs, its consequences; and,
  3. what was done to correct the failure -- i.e, parts repaired or replaced (and if old part is available)
Do not include any personal information in your description such as names, e-mail address, or phone number.
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...).

* Approximate Incident Date:


   Were there any deaths or injuries?
Was there a Fire:
Property Damage:
Was there a Crash:
Reported to Police: