Boulevard Auto Repair
  Fill out this form to make an appointment. If you need service today or tomorrow, please call (818) 989-6028 to schedule.
Air or Water Leak Appointment:
* Denotes Required field
Name * Phone *
Email Please call me at:*
Vehicle Info:  
 
Year* Model* Mileage
 
Please explain the problem you are having:
 
To expedite the drop off of your vehicle, please fill out this brief questionnaire and help to diagnose your vehicles problem. Please check all that apply to your vehicle:

Air and Water Leak Symptoms
 
Leaks occur when?:
Setting level Any time it rains While driving in the rain
Car wash only Back lower the front Front lower than back
 
Location of leak (where water appears):
LF Door RF Door LR Door
RR Door Windshield Rear Window
LF Window RF Window LR Window
RR Window Side Door Sunroof/T-Top
Under Instrument Panel Rear Door/Rear Hatch Carpet
Other    
 
Wind noise location?:
LF Door RF Door LR Door
RR Door Windshield Rear Window
LF Window RF Window LR Window
RR Window Side Door Sunroof/T-Top
Under Instrument Panel Rear Door/Rear Hatch Other
 
Other Problems:


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