CCVS Battery Draw Form
CCVS Battery Draw Form
Service Advisor/Manager please gather this info from the customer (scan and attach if
necessary):
On the dates leading up to the dead battery, please provide details on the trips and sleep cycles of the vehicle
(include as many as trips taken)
Please describe vehicle access before and during vehicle start before trip (Utilized Key, Remote Transmitter,
App, interior/exterior switches, hands free liftgate to access doors, trunk, hood, roof, etc.):
Please describe the vehicle access during and after vehicle shutdown (Utilized Key, Remote Transmitter, App,
interior/exterior switches, hands free liftgate to access/lock doors, trunk, hood, roof, etc.):
How long did vehicle sit before next trip and was vehicle accessed without starting prior to trip?
Note: Please ask the above questions for each trip for all dates XX/XX/XX to XX/XX/XX. If there were no trips
during these dates, please provide the last trip and shutdown information.
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Additional questions:
Time and date of the first occurrence that the battery was dead:
Was the Vehicle Jump Started, had a battery pack and started, battery charged or towed to get to dealer:
How often has it occurred (include specific dates and times if possible):
Any noted lights, warning messages, or electrical components that stayed on when vehicle powered off prior to
dead battery:
Any aftermarket devices used in vehicle (Insurance Good driver, LED Lights, Radar, Charge cord(s) any other
electronics, etc.) Please list all of them:
Any other changes at that time (driving habits, car seats installed or lifestyle changes like trailer connected,
bike rack installed etc.):
Any recent repairs performed to the vehicle (maintenance, collision, towing, etc. with dates):
How was the vehicle unlock and started and warmed up before driving (example Remoted Started 1 time for
10min with APP, Passive Entry, Push Button Start, and backed out of my garage after 1 minute):