Nissan Vehicles Power Door Lock Actuator System Defect Investigation Questionnaire

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Subject

Scott Hirsch Law Group, PLLC is currently investigating 2021–2025 Nissan Altima, 2021–2025 Nissan Rogue, 2021–2025 Nissan Sentra, 2022–2025 Nissan Frontier and 2022–2025 Nissan Pathfinder vehicles for issues relating to power door lock actuator failures, including doors failing to unlock or open properly. Please complete this questionnaire so that we may evaluate your potential claim(s). If you have any questions, you may write to info@scotthirschlawgroup.com or call (301) 569-1339.

First and Last Name

Email Address

Phone Number

City and State of Residence

State Where Vehicle was Purchased?

Approximately, when was the Vehicle Purchased? (MM/YYYY)

Was Your Vehicle Purchased New, Certified Pre-Owned, or Used?

Approximately How Many Miles Did the Vehicle Have at Purchase?

Where Did You Buy the Vehicle From? (If a Dealership, Please write Dealership's Name)

Approximately How Many Miles Does the Vehicle Have Now?

Have You Experienced Any Problems With Your Vehicle’s Power Door Locks?

Yes

No

When Did You First Experience the Vehicle’s Power Door Lock Problem? Please provide the exact date, if known, or the closest approximate date

Please Describe the Circumstances in Which You First Noticed the Door Lock Problem. Did the Issue Occur During Normal Use?

What Was the Millage of the Vehicle When You First Noticed the Issue? (Estimate OK)

Has the Door Lock Problem Occurred More Than Once? If So, Please Describe How Often It Has Occurred

Have You Reported the Problem to Nissan or a Nissan Dealership?

Yes

No

What Was Nissan’s or the Dealership’s Response? Please Describe Any Diagnosis, Explanation, Repair, or Recommendation You Received.

Have You Had Any Repairs or Parts Replaced Due to the Door Lock Problem?

Yes

No

What Part Was Repaired or Replaced, and When Was the Work Performed? (MM/YYYY)

Where Was This Work Done?

How Much Did You Pay for This Work, if Anything?

Did the Door Lock Problem Recur After the Repair or Replacement?

Yes

No

Would You Be Able to Send Us Your Repair Records, Service Records, Photos, Videos, or Other Documents Related to This Issue? If so, please send them to info@scotthirschlawgroup.com

Please Provide Any Other Details Concerning the Power Door Lock Problem You Would Like to Add.

Disclaimer: Submitting this form does not create an attorney-client relationship. All submitted information will be kept strictly confidential by Scott Hirsch Law Group PLLC.

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