Automatic Transmission Form | Auto Fix

Customer Name:

Date:

License #:

Call Back Number:

or Email:

Describe the position of the gear selector:

P (park)

R (reverse)

N (neutral)

D (drive 1-10 gear)

D (drive 1-2 gear)

D1 (drive 1st gear only)

The Problem Occurs When....

Light to medium acceleration

Hard acceleration

Deceleration (foot off accelerator)

Braking

2 WD on

4 WD on

Engine speed (RPM):

Engine speed was:

Idle

Medium

High

Engine Temperature:

Cold

Warm

Hot

Outside Temperature:

Cold

Warm

Hot

How long does the vehicle have to be operating before the condition occurs?

The Problem Began Occurring...

Suddenly

Gradually

Just started

Since the vehicle was new

Has the transmission been previously repaired?

Yes

No

Does the transmission/transaxle shift properly?

Yes

No

Describe how the problem "feels":

Slow, mushy or early shift

Rough, harsh or delayed shift

Slippage (engine speed increases at initial takeoff or when shifting

No upshift

No downshift

Will not shift at all

Does the engine start when the selector lever is not in "P" (park) or "N" (neutral)?

Yes

No

The Problem Occurs....

Rarely

Sometimes

Always

Are there any unusual noises?

Yes

No

If yes, please describe the noise and where it seems to be coming from:

Describe speed at which the problem occurs:

When The Water Leak Occurs

Describe the vehicle speed at which the problem occurs (MPH):

Is the vehicle used for towing?

Yes

No

If yes, what was the size / Wt. of the trailer?

- Automatic Transmission -

Please fill out the form below

Automatic Transmission

(218) 367-3670

151 County Highway 55, Ottertail, MN 56571

Monday - Friday: 8:00 am - 5:00 pm

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