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Submit a Registration/Claim Form - Claim Eligibility
Eligibility:

Please answer all questions below to confirm your eligibility to file the Registration/Claim Form

1. Did you purchase or lease your Subject Vehicle prior to or on June 9, 2017?

  •  Yes
  •  No

2. Did you still own or lease your Subject Vehicle on June 9, 2017?

  •  Yes
  •  No

3. Have you brought your Subject Vehicle to a dealership for the manufacturer of the Subject Vehicle for the Takata Airbag Recall Remedy?

  •  Yes
  •  No

3. Did you sell, or return pursuant to a lease, your Subject Vehicle after April 11, 2013, and before June 9, 2017?

  •  Yes
  •  No