Claim - Dist W300_0100

Plant Dist B24AE Dealer 00211 Serial 0000554 Seq 0 Ver 1

Resubmit ACL No. Process Status Claim Status Received Claim Process Date Receipt Date

20 A 2021/03/11 2021/03/11

Claim VIN Information

VIN Model Registration No. Delivery Date Visiting Owner

KMJWA37HALU082220 TQ 2019/09/26

Claim Basic Information

Claim Type W : MECHANICAL CLAIM RO No. 0002966-3 ~ 0002966-3 Repair Date 2021/03/05 ~ 2021/03/05

Mileage 10,609 ~ 10,609 K Causal Part 921024H500 Nature Code B23

Cause Code ZZ6 DTC/Battery Diagnosis Code

PWA Information

PWA Type PWA No. Share Rate

Part % 100.00 Labor % 100.00 Sublet % 100.00

Summary Currency : USD

Part Labor Sublet Total

Submission 200.54 17.46 0.00 218.00

Approve 200.54 17.46 0.00 218.00

Part

Submission Approve
Replaced Parts Description
Price Qty Amount Price Qty Amount

921024H500 LAMP ASSY-HEAD,RH 117.97 1 200.54 117.97 1 200.54

Labor

Submission Approve
OP Code Description Paint Cause Code
Time Qty Amount Time Qty Amount

92000R0R LAMP ASSY-HEAD (RH) 0.90 1 17.46 0.90 1 17.46