X. DOCUMENTS
Your application may be considered incomplete and processing will be delayed if you did not include the
following applicable documents (please check documents submitted):
A copy of any warranty given by the conversion company identified in Question 11, if applicable
Copies of relevant repair orders in your possession (Questions 17, 19 and 20)
A copy of the defect notification form or other written notification you sent to each manufacturer
or conversion company (Questions 18 and 20)
A copy of the postal receipt or other document indicating when the manufacturer and/or
conversion company received your written notification (Questions 18 and 20)
A copy of the claim filed with a manufacturer’s state-certified procedure (if applicable)
(Question 23)
A copy of the decision of a manufacturer’s state-certified procedure, if any (if applicable)
(Question 23)
A copy of the vehicle purchase invoice, bill of sale, and the retail installment contract (loan
agreement) or lease agreement (all that are applicable to your vehicle acquisition)
Copies of all receipts or invoices for items purchased in connection with your acquisition of the
vehicle
Copies of all receipts or invoices for expenses directly caused by the defect(s)
Be sure to make and keep a copy of this form and all attachments for your own records.
Return completed original form with copies of all
applicable documents attached to:
Office of the Attorney General
Lemon Law Arbitration
PL-01, The Capitol
Tallahassee, Florida 32399-1050
850-414-3500
DLA/LL-005(2-1-2006)