Required per 49 CFR Part 573.6

Report Date:                          Calendar Quarter:  

Safety Recall Quarterly Report from                  through                 

Manufacturer:  

Report Author:                                                Phone:  (       ) 

Recall Subject:  

1. NHTSA Safety Recall Campaign Number:                                 

Also, for completeness, if your company has assigned a code number to this campaign, please provide your code:                    

2. (a) The date notification to purchasers began:  

(b) The date notification of purchasers was completed:  

3. The Total Number of Items of Equipment Involved:  

The total number of items involved in the subject campaign (including all items sold or distributed to purchasers, dealers, distributors, and similar entities beyond the immediate control of the manufacturer/importer).

Number of Items Returned from Inventory or Remedied Prior to Sale:  

Includes (a) the total number of items returned from Manufacturer, Distributor, Dealer or Retailer inventory or (b) otherwise remedied prior to sale to consumers.

4. (a) Total Number Inspected & Remedied:  

Total number of items which were inspected and/or otherwise repaired or remedied.

(b) Total Number Inspected & NOT REQUIRING REMEDY:  

Total number of items involved in the recall and inspected, but determined to NOT REQUIRE REMEDIAL or recall repair work.

5. Items Determined to be Unreachable

Total Number Exported:

Total Number Stolen:

Total Number Scrapped:

Total Number Unable to Notify:

Total Number Otherwise Unreachable:

Describe Other: