Submit Your Case

At this time, because of the large number of inquiries we have received to date, we are not representing Ford owners whose vehicle was destroyed but who suffered no other significant property damage or personal injury. Please contact Ford at 1-800-392-3673 or NHTSA at 1-888-327-4236 if you have questions about the recall itself.

First name*

Last name*

Address

City

State

Zip Code

Country

Telephone - day

Telephone - eve.

E-Mail address*

What was the name, model and year of manufacture of your vehicle?

Did your vehicle experience a fire?

Please select Yes No

If so, when did the fire occur?

Was anyone physically injured in the fire?

Please select Yes No

If yes, please describe the injuries:

Was the vehicle destroyed in the fire?

Please select Yes No

Was your home or any other property damaged in the fire?

Please select Yes No

If yes, please describe the damage to your home or other property:

What was the value of the vehicle damage?

What was the value of the damage to your home or other property?

Did you receive any compensation from Ford and/or an insurance company for the damage caused by the fire? If so, please explain.

Are you represented by an attorney?

Please select Yes No

Additional comments:

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