Peugeot Citroen electronic parts repair form

Car brand:

Model: *

Year: *

Engine code:

Displacement:

VIN/ chassis number:

Fuel type:

Petrol
Diesel

If ECU is chosen: Fill in brand and serial numbers

ECU brand:

ECU numbers:

Please describe the behavior of the car when the problem occurs: :

What checks have been done? Were there any errors? What were the results?:

Where do you think the problem is? For example:

Have parts been replaced in the car regarding the problem?:

Name: *

Company name:

Address:

Postal code:

City:

E-mail: *

Phone number: *

Phone number 2:

(Change spamquestion)

Code: *