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01-00-89-010J Comeback Prevention Information and Using Customer Concern Verification Sheets (CCVS) - (Nov 12 2012) Driveline Control 4WD Driveline Control - part 11

Rating:
ustomer Concern Verification Sheet — Electrical / AccessoryCustomer Concern Verification Sheet — Electrical / Accessory

Electrical System, Component or Accessory — Check All That Apply

Antenna:---

---Backglass ____ ---Fixed Mast ____ ---Front Windshield ____ ---Multi-Band (Roof)____ ---Passenger Side Rear Window ____

Auxiliary (AUX) USB Port ____

Bluetooth® ____

CD Player ____

Clock ____

DVD Player ____

Heads Up Display (HUD) ____

Hard Disc Drive (HDD), (Used to Store Music) ____

Heating, Ventilation and Air Conditioning (HVAC) ____ ---Rear HVAC ____

Inside Mirror ____

Instrument Panel ____

iPhone® ____

iPod® ____

Keyless Entry System ____

Keyless Entry System Key Fobs:---

---One ____ ---Both ____

MP3 ____

Navigation System ____ ---Navigation Map Disc ____

OnStar® ____

Personal Audio Link (PAL) ____

Radio ____

XM Radio® ____

Rear Seat Entertainment (RSE) System:---

---Audio ____ ---AUX Devices ____ ---AUX Input Jacks ____ --- Video ____ ---VideoScreen(s) ____ ---Other ______________

Rear Seat Entertainment (RSE) System Remote Controls:---

--- One ____ ---Both ____

Speakers ____

Warning Chimes ____

Wired Headphones ____ ---Wired Headphone Jacks ____

Wireless Headphones ____

Universal Serial Bus (USB) ____

Other (Describe) ___________________ --------------- Other (Describe) ___________________

Instrument Illumination — Check All That Apply

HVAC System:---

---Front ____ ---Rear ____

Inside Mirror ____

Instrument Panel ____

Radio ____

Rear Seat Entertainment System ____

Symptoms — Check All That Apply

Antenna:---

---Damaged ____ ---Missing ____

AUX Input Jacks Unresponsive ____

Auxiliary (AUX) USB Port:---

---Unresponsive ____

Bluetooth®:---

---Improper Function ____ ---Unresponsive ____ ---Voice Recognition Unresponsive ____

CD Player:---

---CD Will Not Eject ____ ---CD Will Not Insert ____ ---Improper Function ____ ---Unresponsive____

Integral Multi Disc CD Changer:---

---CD Will Not Eject ____ ---CD Will Not Insert ____ ---Improper Function ____ ---Unresponsive____ ---Other_______________

DVD Controls:---

---DVD Will Not Eject ____ ---DVD Will Not Insert ____ ---Improper Function ____ ---Unresponsive____

DVD Displays Error Messages On the Rear Seat Entertainment Video Screen ____

Hard Disc Drive (HDD), (Used to Store Music):---

---Improper Function ____ ---Unresponsive ____

Heads Up Display:---

---Improper Display ____ ---Inaccurate Display ____ ---Unresponsive ____

HVAC Controls:---

---Improper Function ____ ---Unresponsive ____ ---Voice Commands Unresponsive ____

Rear HVAC Controls:---

---Improper Function ____ ---Unresponsive ____

Instrument Panel Controls: ---

--- Improper Function ____ --- Unresponsive ____ --- Other ______________

iPod®:---

--- Improper Function ____ --- Unresponsive ____

iPhone®:---

--- Improper Function ____ --- Unresponsive ____

Keyless Entry:---

--- Improper Function ____ --- Unresponsive ____ --- Insufficient Range ____ --- Oneor More Fobs Do Not Function ____ --- Other ______________

MP3:---

--- Improper Function ____ --- Unresponsive ____

Navigation System: ---

--- Controls Improper Function ____ --- Controls Unresponsive ____ --- Inaccurateor Missing Information ____ --- Map Disc Will Not Eject ____ --- Map Disc Will NotInsert ____ --- No Display ____ --- Voice Commands Unresponsive ____ --- Other ______________

OnStar®:---

--- Dropped Calls ____ --- Improper Function ____ --- Mirror Controls Broken ____--- Mirror Controls Unresponsive ____ --- OnStar® Mirror Light Does Not TransitionFrom Red to Green ____ --- Poor Reception ____ --- Turn by Turn Will Not Connect ____--- Unresponsive ____ ---Voice Commands Unresponsive ____ --- Other ______________

Personal Audio Link (PAL): ---

--- Improper Function ____ --- Unresponsive ____

Radio Controls: ---

--- Unresponsive ____ --- Improper Function ____ --- Voice Commands Unresponsive ____

Radio Data System (RDS):---

--- FM Station Name or Call Letters Do Not Display ____ --- Inaccurate Information____ --- Unresponsive ____ --- Radio Displays Error Messages ____

Radio Noise:---

--- High Tension Wire Interference ____ --- Radio / TV Transmission Tower Interference____

---Identify the Band Being Used When it Occurs: ---

--- AM ____ --- FM ____ --- XM Radio® ____

Radio Reception Quality: ---

--- Poor ____ --- Fades In and Out ____

---Identify the Band Being Used When it Occurs:---

--- AM ____ --- FM ____ --- XM Radio® ____

Radio Speaker Static: ---

---Continuous ____ ---Only in Certain Areas ____

---Identify the Source Being Used When it Occurs: ---

---AM ____ ---FM ____ ---XM Radio® ____ ---CD ____ ---DVD ____ ---AUX ____ ---USB____ ---MP3 ____ ---iPod® ____ ---Bluetooth® / OnStar® Call ____ ---Rear Seat Entertainment____ ---RearSeat Audio ____

Speakers: ---

---No Sound ____ ---Poor Sound ____

---All Speakers ____ ---Left Front ____ ---Right Front ____ ---Left Rear ____ ---RightRear ____

Rear Seat Audio (RSA): ---

---Improper Function ____ ---Unresponsive ____

Rear Seat Entertainment (RSE) AUX Input Device:---

---Unresponsive to Video Game Console ____ ---Unresponsive to Camera ____ ---Unresponsiveto Other Device ____

Rear Seat Entertainment Controls: ---

--- Improper Function ____ --- Unresponsive ____

Rear Seat Entertainment Remote Control(s): ---

---One or Both Controls Are Unresponsive ____ ---Some Functions Are Unresponsive ____

Rear Seat Entertainment Video Screen(s):---

---Improper Function ____ ---Unresponsive ____

Speed Compensated Speaker Volume:---

---Improper Function ____ ---Unresponsive ____

Steering Wheel Controls: ---

---Buttons Broken ____ ---Improper Function ____ ---Unresponsive ____

Warning Chimes:---

---Improper Function ____ ---Unresponsive ____

Wired Headphones:---

---Improper Function ____ ---Unresponsive ____

Wired Headphones Control Knob(s):---

--- Unresponsive: ---Left ____ ---Right ____

--- Wired Headphone Jacks:--- Unresponsive ____

Wireless Headphones:---

---Improper Function ____ ---Unresponsive ____

XM Radio® Improper Function ____

XM Radio® Unresponsive ____

Blows Fuses (Describe) ____

Other (Describe) ____

Operating Conditions — Check All That Apply

When Did the Concern Start ____

How Often Does it Occur ____

How Long Does it Last ____

This Section Is For Dealer Use Only: ---

---------VIN: ____________________ ---------Miles (km): ____________________ ---------Technician#: ____________________--------- Advisor #: ____________________

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