OEM Repair Procedure Attestation Form

Manager attestation form certifying that all required and recommended OEM repair procedures were performed and documented for each repair file.

Repair File Identification

• Repair Order Number
  Enter the internal repair order or RO number for the file.
• Claim Number
  Optional if used by your workflow to cross-reference the file.
• Vehicle Year / Make / Model
  Enter the vehicle identification details needed to locate the file.
• VIN Last 8 Characters
  Use only the last 8 characters if needed for file identification. Do not enter the full VIN unless your process requires it.
• Repair Completion Date
  Select the date the repair work was completed or the file was finalized.

OEM Procedure Review

• Were OEM repair procedures reviewed for this file?
• Were all required OEM procedures completed?
• Were applicable OEM recommended procedures completed or addressed?
• OEM Procedure Sources Used
  Select the source materials used to verify procedures.
• Procedure Review Notes
  Summarize any procedure references, exceptions, or file-specific notes. Keep this limited to what is necessary for the audit trail.

Documentation Verification

• Supporting documentation is present in the file
  Check this box only if the file includes the supporting evidence needed to verify procedure completion.
• Documentation Included
  Select all documentation types included in the file.
• Missing or Incomplete Documentation
  List any missing documents or incomplete evidence that must be resolved before file closeout.

Manager Attestation and Exception Handling

• I attest that the required OEM procedures were performed and documented for this repair file, or that any exceptions are noted above.
• Reason for Exception or Non-Completion
  Select the reason if any required or recommended procedure was not completed.
• Follow-Up Action Required
  Select any actions needed before the file can be closed.
• Manager Name
  Enter the name of the manager completing this attestation.
• Manager Title
  Enter the manager's role or title.
• Attestation Date
  Select the date the attestation was completed.