Sermi Required Documents

Questions marked * are required.

Vehicle Registration Number *

Vehicle Make *

Vehicle Model *

Vehicle Mileage (Exact) *

ECU/ Part getting replaced & Fault *

Vehicle Chassis Number Of Car *

VIN on V5C Matches Vin On Vehicle *

YesNo

ID & V5C *

Photos or PDF. You can choose more than one file.

Type Of ID Document Uploaded *

First Name *

Surname *

ID Reference Number *

Full Address *

Email Address *

We'll only use this to contact you about this form.

Proof Of Purchase

Owner/Vehicle Presenter Declarations *

As the vehicle owner/vehicle presenter I confirm that:

I have provided proof of ownership for the vehicle (V5, lease agreement, purchase Invoice, rental agreement, fleet management agreement or loan agreement)
I have provided identification verification (ID Card, driver’s licence, passport or roadside membership card)
I have provided any requested additional information (Fleet management or rental car company contact details)
I authorise the work listed in ‘Customer Request/Fault Description’ to be carried out

Sign below *

Owner/Vehicle Presenter Name* (please print name) *

Date *