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Submit Remediation Claim
Before submitting this form, verify the accuracy of all information to avoid delays with your claim. Once submitted, you will receive an email with a claim authorization number.
This number MUST be included on all documentation submitted to Idle Free Systems in order to receive reimbursement.   
Call Idle Free Systems at (920) 206-9333 ext. 3 with questions.
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Fuse Remediation Claim
Point of Contact*
Dealer Name*
Dealer Location*
Dealer POC Email*
Technician's Name*
Fleet/Customer Name*
Fleet Point of Contact*
Fleet Point of Contact Phone Number*
Truck Make*
Truck Number*
VIN Number*
Serial Number From Frame Rail Unit*
Remediation Kit Used*
Remediation Complete