Ford Motor Company

COMPLETE THIS FORM AND FAX TO: (734) 374-8460

Call the Label Helpline at (734) 374-8353 with questions
Ford Customer Service Division
Emissions Label and/or Information/Warning Label Order Card*
(* NOTE: a $5.00 charge per label)

VIN
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USE THIS SECTION FOR CURRENT MODEL YEAR & 13 YEARS PRIOR EMISSIONS LABEL* ORDERS ONLY.
*Depending on application, the Emissions Label may be called Vehicle Emissions Control Information (VECI) label,
Important Vehicle Information (IVI) label, or Important Engine Information (IEI) label.

Model Year ________________ Engine Size ______________

Model Description _________________________ Eng. Calibration ___________

Warranty Start Date ________________________ Mileage __________________

REASON FOR REPLACEMENT (REQUIRED)

Label is Missing Vehicle was involved in an Accident

Label is Incorrect Label is Damaged
Label is Loose Other: Specify____________________

Part Number (if readable)

Quantity Pre Base Suffix Description
1 Only Emissions Label Only*
*Note: only one 9C485 or 9S432 per VIN
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USE THIS SECTION FOR ALL OTHER INFORMATION/WARNING LABELS
- 1993 AND LATER MODELS ONLY*

Quantity Part Number Description

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Dealer Name Dealer P & A Code
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Street or P.O. BOX
_________________________________________ __________________________
City, Province, Postal Code Fax#
__________________________
_________________________________________ Date
Authorized Dealer Signature

ATTENTION:___________________________________________________________________
PLEASE PRINT NAME CLEARLY

REV. FPS-8603 OCT 2002