Crown Victoria Class Action Registration

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If you would like to receive updated information about Crown Victoria Police Interceptor incidents and the class action suit via email, please fill out the form below.

Or, if you know of an incident that relates to the CVPI fuel tank problem, please send us the details in the space provided.

For immediate response to your request for information or to report an incident, please email us directly by

For answers to questions about Ford's proposed repairs, please contact your Ford dealership or Ford Customer Service at http://www.ford.com/en/support/contactUs.htm#fmc


FIRST NAME: (REQUIRED)
LAST NAME: (REQUIRED)
TITLE:
AGENCY or COMPANY: (REQUIRED)
EMAIL: (REQUIRED)
COMMENTS:

IF YOU KNOW OF ANY ACCIDENTS INVOLVING THE CROWN VICTORIA AND IT'S FUEL TANK, PLEASE INCLUDE AS MUCH INFORMATION AS YOU CAN BELOW:
DATE: (MM/DD/YYYY)
PLACE:
CIRCUMSTANCES:
WAS THERE A FIRE?
BURN INJURIES?
DEATH?
POLICE REPORT REFERENCE #: (if available)