• To generate a D-1 Form for a code generated through AutoCode: login to the app, click on “view code history”, choose the desired transaction and click on the “D-1 Form” button.
  • To generate a D-1 Form for a code that was NOT generated through AutoCode fill out the form below:

Customer Name:
Customer Address:
Customer Zip:
Customer Phone:
Driver’s License:
Driver’s License State:
Driver’s License Expiration:


Car Color:
Car Odometer:
Service:


Date:


VIN:
License Plate:
License Plate State:
Year:
Make:
Model:


Technician’s Name:
Technician’s Email (REQUIRED):
Business Name:
Business Address:
Business City:
Business State:
Business Zip: