General Assistance Request If dealer or distributor, please log in to use this form. Note: Please email attachments separately to csc@daimler.com

* Dealer/Distributor Location Name:
* Dealer/Distributor or FLLC code:
* Contact First Name:
* Contact Last Name:
* Email Address:
* Phone Number (numbers only):
* Fleet or Owner Name:
Fleet Unit #:
* Engine Serial Number:
* Last Six Digits of VIN:
Mileage:
* Fault Codes (Active or Inactive):
* Engine Complaint including Fault Codes. Please list all Fault Codes, active or inactive. Include what troubleshooting you have done and what was found (250 characters maximum):
* Indicates required field.