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File a Vehicle Safety Complaint

NOTE: If you do not have an email address, or cannot fill in a required field, please phone the Vehicle Safety Hotline
(Toll-Free: 1-888-327-4236 / Hearing Impaired (TTY): 1-800-424-9153) for assistance.

Form Approved: O.M.B. No. 2127-0008

Please complete each section and then click on the "Verify your entries" button at the bottom.

* = required field

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1. Vehicle Information

Vehicle Identification Number (VIN):Test your VIN

* Vehicle:

Enter your vehicle Make, Model and Model Year separated by spaces (e.g., MakeName ModelName 2003). After three characters possible matches may be shown and can be selected to complete your entry.

2. Incident Information

* Approximate Incident Date:

For multiple incident dates enter the first date of occurrence.

Was there a Crash?

Yes

Was there a Fire?

Yes

Was there an Injury or Fatality?

Yes

Vehicle mileage at time of incident (miles):
For multiple incidents, enter the first failure mileage

Vehicle speed at time of incident (mph):

* Affected Parts:

Select up to three parts

* Tell us what happened Enter up to 1900 characters

WARNING: This description, exactly as you enter it, may appear in a public NHTSA database. Do not include any personal information (name, street/email address, phone number, social security/driver license number, Vehicle Identification Number (VIN), etc...).

( 1900 characters left )

3. Personal Information

* First Name:

* Last Name:

* Email:

* Confirm Email:

* Daytime Phone:

Evening Phone:

* Address 1:

Address 2:

* City:

* State:

* Zip Code:

All the information that you submit to NHTSA will be transmitted using secure mechanism.

1200 New Jersey Avenue, SE, West Building Washington DC 20590 USA 1.888.327.4236 TTY 1.800.424.9153