REQUEST FOR REIMBURSEMENT FORM: WTY003 - IF YOU HAVE PAID TO HAVE THE AIRBAG CLOCK SPRING ASSEMBLY REPLACED, YOU MAY BE ELIGIBLE FOR REIMBURSEMENT FOR SOME OR ALL OF THAT EXPENSE. MAIL THIS COMPLETED REQUEST FOR REIMBURSEMENT FORM TO KIA, ALONG WITH DOCUMENTATION SPECIFIED BELOW, FOR REVIEW AND CONSIDERATION AT THE FOLLOWING ADDRESS: CONSUMER ASSISTANCE CENTER, KIA MOTORS AMERICA, INC., P.O. BOX 52410, IRVINE, CA 92619-2410
