SubaruNet Announ

Owner Contact and Vehicle Disclosure Form
IMPORTANT NOTICE: This form is not applicable to New Vehicles or Subaru Certified PreOwned Vehicles. It applies only to non-certified used vehicles.
This vehicle is involved in the following safety recall. At this time, remedy parts are not available. As a result, the remedy
has not been performed. I understand the background of this safety recall, the information provided in the WRA-24
Subaru Safety Recall Customer Information Sheet, and that the vehicle will need to be returned to an authorized Subaru
retailer to have the remedy performed, at no charge, when the remedy is available.
Safety Recall
Campaign Code
2020-2022 Legacy and Outback Occupant Detection System (ODS) Sensor Replacement
WRA-24
Owner Signature: _________________________________________________ Date: ______________
Subaru recommends that you update your ownership information with Subaru of America by visiting
https://www.subaru.com/subaru-email-us.html?category=ownershipupd.
Owner Initial ___________ acknowledging receipt of WRA-24 Subaru Safety Recall Customer Information Sheet
VIN (full 17 characters): ______________________________________________________
Model: ______________________ Model Year: _______________ Current Mileage: _________________
OWNER INFORMATION
Name
First
First
MI
Mi
Last
Email
____________________
Last
Address
Street
Home Phone #
Apt No.
City
State
Zip Code
Mobile Phone #
Please provide this information so your retailer can notify you when the remedy parts become available.
RETAILER INFORMATION
Retailer Name __________________________________ Retailer Number
Retailer Staff Name _______________________ Retailer Staff Signature
INSTRUCTIONS TO RETAILER
□ Retain the signed form in the deal jacket
□ Provide a copy of this form to the purchaser
□ Print a copy of the VIN status inquiry and include it in the
□ Provide a copy of the Safety Recall Information
deal jacket
to the purchaser (next page)