Local: (306) 522-6612
Toll Free: (866) 522-6612
770 Broad Street, Regina, SK
Vehicles
New Vehicles
Pre-Owned Vehicles
Value Your Trade
F-150 Lineup
Why Buy From Us
Pre-Owned Warranty
Get Approved
Payment Calculator
Factory Order
Commercial Business
Ford Pro
Benefits
Service & Quick Lane
Free Recall Check
Book a Service
Service Department
Quick Lane
Vehicle Diagnostic Form
Free Service
Tires & Parts
Tires
Parts & Accessories
Free Parts
Collision & Detail
Collision Appointment
Detail Appointment
Collision Centre
Detail
Paint Correction Polish
Windshield and Glass Repair
Specials
New Vehicle Specials
Pre-Owned Specials
Service & Quick Lane
Tire & Accessories
Glass & Detail
Dealership
Meet the Team
About Us
Career
Community
Blog
FordPass Rewards
Contact Us
Call Us
Get Directions
My Garage
Vehicles
New Vehicles
Pre-Owned Vehicles
Value Your Trade
F-150 Lineup
Why Buy From Us
Pre-Owned Warranty
Get Approved
Payment Calculator
Factory Order
Commercial Business
Ford Pro
Benefits
Service & Quick Lane
Free Recall Check
Book a Service
Service Department
Quick Lane
Vehicle Diagnostic Form
Free Service
Tires & Parts
Tires
Parts & Accessories
Free Parts
Collision & Detail
Collision Appointment
Detail Appointment
Collision Centre
Detail
Paint Correction Polish
Windshield and Glass Repair
Specials
New Vehicle Specials
Pre-Owned Specials
Service & Quick Lane
Tire & Accessories
Glass & Detail
Dealership
Meet the Team
About Us
Career
Community
Blog
FordPass Rewards
Contact Us
Job Aid Form
Damaged Vehicle
Please leave this field empty.
Using the grid, indicate the area of issue. Example, A6 for driver's side door.
First Name*
Last Name*
Email*
Letter*:
---
A
B
C
D
E
F
Number*:
---
1
2
3
4
5
6
7
8
9
Vehicle Symptom Area*
---
Front of Vehicle
Engine Compartment
Dash
Steering Wheel
Accelerator Pedal
Brake Pedal
Clutch Pedal
Shift Level/Knob
Seat
Rear of Vehicle
Top of Vehicle
Floor Pan
Under Vehicle
Other (define below)
How Often*
---
Always
Daily
Conditional
Weekly
Monthly
Intermittent
Unknown
Vehicle Operating Surface*
---
Start Up
Idle
Gear Selection
Accel Light
Accel Moderate
Accel Heavy
Steady Speed
Deceleration
Coast Down
Braking Soft
Breaking Normal
Breaking Hard
Neutral
Reverse
Other (define below)
Vehicle Conditions*
---
Windows Open
4 x 4
Hauling
Towing
Snow Plowing
Other (define below)
Road Surface*
---
Smooth Paved
Rough Paved
Bumpy
Wet
Vehicle Speed*
---
0
1-15
16-29
30-49
50-64
65-79
80-94
95-109
110+
Engine Temp*
---
Cold
Normal
Hot
Occurs When Vehicle Is...
---
Turning Left
Turning Right
Over Bumps
Up Hills
Down Hills
Upshifting
Downshifting
Parked
In Traffic
Ambient Condition*
---
-...° to -21°C
Below Freezing (-20° to -5°C)
Below Freezing (-5° to -0°C
Temp -1° to 10°C
Temp -11° to 20°C
Temp -21° to 30°C
Temp -31°C+
Sunny
Dry
Windy
Wet/Humid
Rain
Snow
Ice
Other (define below)
VIN
Extra Notes
General Contact
Please leave this field empty.
Please leave this field empty.
Full Name*
Email*
Postal Code
Subject
Message
I agree to receive periodical offers, newsletter, safety and recall updates from the dealership. Consent can be withdrawn at any time.
