Single-Use Parts and Fastener Documentation Form

Form for documenting OEM-mandated single-use parts and fasteners that were replaced instead of reused during a collision repair.

Repair Order and Vehicle Identification

• Repair Order Number
• Vehicle Year
• Vehicle Make
• Vehicle Model
• VIN Last 8 Characters
  Optional. Use only if needed to distinguish the vehicle in the repair record.

Single-Use Part or Fastener Details

• Item Type
• Item Description
  Enter the OEM part name, fastener type, or other item description.
• Quantity
• OEM Reference
  Reference the OEM procedure, service bulletin, or parts catalog source that identifies the item as single-use.
• Reason for Replacement
  Explain why the item cannot be reused, such as OEM single-use requirement, torque-to-yield design, deformation, or contamination.

Supporting Evidence and Authorization

• Supporting Documents
  Upload OEM procedure pages, parts catalog screenshots, photos, or estimate notes supporting the replacement decision.
• Reviewed By
  Optional. Name or role of the person reviewing the documentation.
• Review Date
• Approval Status

Technician Attestation

• Attestation Statement
  By submitting this form, I confirm the listed parts and fasteners were documented based on OEM guidance and repair record review.
• Technician Name
• Submission Date