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Run: OEM Repair Procedure Attestation Form

This OEM Repair Procedure Attestation Form captures the repair file details, OEM procedure review, documentation checks, and manager sign-off in one place. U...

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Repair File Identification

Repair Order Number (required)

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 (required)

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 (required)

Select the date the repair work was completed or the file was finalized.

OEM Procedure Review

Were OEM repair procedures reviewed for this file? (required)

Were all required OEM procedures completed? (required)

Were applicable OEM recommended procedures completed or addressed? (required)

OEM Procedure Sources Used (required)

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 (required)

Check this box only if the file includes the supporting evidence needed to verify procedure completion.

Yes No N/A

Documentation Included (required)

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. (required)

Yes No N/A

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 (required)

Enter the name of the manager completing this attestation.

Manager Title (required)

Enter the manager's role or title.

Attestation Date (required)

Select the date the attestation was completed.

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Email (required)

Your name (optional)

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