2024 Ford Maverick Hybrid Braking System Defect Investigation Questionnaire

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Subject

Scott Hirsch Law Group, PLLC is currently investigating the 2024 Ford Maverick Hybrid for issues relating to intermittent loss of braking and stopping capability. 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 Intermittent Loss of Braking or Stopping Capability?

Yes

When Did You First Experience the Vehicle’s Braking or Stopping Issue? Please provide the exact date, if known, or the closest approximate date

Please Describe the Circumstances in Which the Braking or Stopping Issue First Occurred. Has This Been a Consistent or Intermittent Issue?

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

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

Yes

What Was Ford’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 Braking or Stopping Issue?

Yes

If So, 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 Braking or Stopping Issue Recur After the Repair or Replacement?

Yes

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

Yes

Please Provide Any Other Details Concerning the Braking or Stopping Issue 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.

2024 Ford Maverick Hybrid Braking System Defect Investigation Questionnaire

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