Hyundai Reimbursement Mpg PDF Details

The Hyundai Reimbursement Mpg form is a great way to get money back for your fuel expenses. By filling out this form, you can submit reimbursement requests for the miles you have driven. This can be a great way to save money on your fuel expenses. Make sure to fill out the form completely and accurately to ensure that your reimbursement is processed as quickly as possible.

Here is the details concerning the PDF you were in search of to fill out. It can tell you the time you will need to finish hyundai reimbursement mpg, exactly what parts you need to fill in, and so forth.

QuestionAnswer
Form NameHyundai Reimbursement Mpg
Form Length1 pages
Fillable?Yes
Fillable fields42
Avg. time to fill out8 min 43 sec
Other nameshyundai mpg info, hyundai reimbursement, hyundai gas reimbursement, hyundai reimbursement mileage

Form Preview Example

CUSTOMER MPG CLAIM FORM

Please register by one of the following methods:

1)

Website:

www.HyundaiMPGinfo.com

2)

Email:

HyundaiMPGinfo@hmausa.com

3)

Mail to:

Hyundai MPG Call Center

4)

Fax:

(800) 332-2848

 

 

P.O. Box 83835

 

 

 

 

 

Phoenix, AZ, 85071-3835

 

 

 

 

 

 

 

 

 

Contact and Vehicle Information

To receive a reimbursement1, provide your current contact information and your vehicle information below:

Name:

Address:

City:

 

 

 

State:

 

Zip:

 

Telephone:

 

Email:

 

 

 

(VEHICLE IDENTIFICATION NUMBER)

VIN: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Current Mileage:___________________

Date of Purchase:

Date of Sale (if applicable):

Mileage at Purchase: ____________________ Mileage at Sale (if applicable): ________________

Mileage Verification (Check ONLY ONE of the following boxes.)

Current Owners:

I purchased the vehicle new and currently own it.

I have recently obtained a mileage reading at a Hyundai Dealership, OR

I will wait until I accumulate more miles on my vehicle before I obtain a mileage reading at a Hyundai

 

 

 

Dealership

 

 

I purchased the vehicle used and currently own it. Enclosed is proof of the mileage at the time I purchased the

 

 

vehicle (Please enclose a purchase document, odometer disclosure statement, smog certification, repair order or other document demonstrating

 

 

mileage at time of purchase).

 

 

ONE

I have recently obtained a mileage reading at a Hyundai Dealership, OR

I will wait until I accumulate more miles on my vehicle before I obtain a mileage reading at a Hyundai

CHECK

 

Dealership

 

 

Former Owners:

 

 

 

 

 

 

I purchased the vehicle new and sold or disposed of it. Enclosed is proof of the mileage I incurred while I owned the

 

 

vehicle (Please enclose a sale document, odometer disclosure statement, smog certification, repair order or other document demonstrating

 

 

mileage at the time of sale/disposal).

 

 

I purchased the vehicle used and sold or disposed of it. Enclosed is proof of the mileage I incurred while I owned the

 

 

 

 

vehicle (Please enclose purchase and sale documents, odometer disclosure statements, smog certifications, repair orders or other documents

 

 

demonstrating mileage at both the time of purchase and sale/disposal).

Certification

The information on this form is true and correct to the best of my knowledge and belief. I consent to Hyundai’s method of calculating my reimbursement as set forth at www.HyundaiMPGinfo.com. I also hereby authorize Hyundai Motor America to contact me in writing, by phone or by email with any questions about my claim submission or regarding the status of my claim submission.

Signature:

 

Date:

________

 

 

 

 

 

1Mileage will not be reimbursed for owners taking ownership of any of the affected vehicles after November 2, 2012. In order to be eligible for reimbursement, a customer must register and complete all required claim steps prior to November 3, 2013.

MPG (vA 20121109)

Any questions? Visit www.HyundaiMPGinfo.com OR contact the Hyundai MPG Call Center @ (877) 277-0012

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