Get the free GM MOBILITY REIMBURSEMENT APPLICATION

How to fill out gm mobility reimbursement application

How to Fill out GM Mobility Reimbursement Application:

1. Start by downloading the GM Mobility Reimbursement Application form from the official General Motors website or obtain a copy from your local GM dealership.
2. Fill out the applicant's personal information section, including full name, address, phone number, and email address. Make sure all the details entered are accurate and up to date.
3. Provide the necessary details regarding the GM vehicle being purchased or leased. This includes the make, model, and year of the vehicle, as well as the vehicle identification number (VIN).
4. Indicate the modifications or adaptations required for the vehicle to accommodate a disability. Include specific information about the modifications needed and any associated costs.
5. If the reimbursement is for added driver or passenger equipment, provide a detailed description of the equipment and its purpose. Include any invoices or receipts as supporting documentation if available.
6. Complete the section related to the authorized GM dealer. Provide the dealer's name, address, and contact information.
7. If applicable, provide information about the authorized converter or installer who will be performing the vehicle modifications. Include their name, address, and contact information.
8. Read and sign the authorization and release of medical information section if it pertains to your situation. This section authorizes the release of medical information to GM to verify eligibility for the Mobility Reimbursement Program.
9. Review the application for accuracy and completeness before submitting it. Double-check all the information entered and ensure that all required sections have been completed.
10. Send the completed application along with any supporting documents to the address specified on the form.

Who Needs GM Mobility Reimbursement Application:

1. Individuals who have a disability or mobility impairment and require vehicle modifications or adaptations to enhance accessibility.
2. GM customers who have recently purchased or leased a new GM vehicle and need financial assistance for the cost of eligible mobility modifications.
3. Caregivers or family members of individuals with disabilities who are purchasing or leasing a GM vehicle on behalf of the disabled individual and need reimbursement for the modifications.

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What is gm mobility reimbursement application?

GM Mobility Reimbursement Application is a form that allows eligible individuals to request reimbursement for expenses related to mobility modifications made to vehicles.

Who is required to file gm mobility reimbursement application?

Individuals who have purchased or leased a new GM vehicle and have made mobility modifications to accommodate a disability are required to file the GM Mobility Reimbursement Application.

How to fill out gm mobility reimbursement application?

To fill out the GM Mobility Reimbursement Application, individuals must provide details about the vehicle purchased or leased, information about the mobility modifications made, and submit relevant documentation such as receipts and invoices.

What is the purpose of gm mobility reimbursement application?

The purpose of the GM Mobility Reimbursement Application is to provide financial assistance to individuals who have incurred expenses for mobility modifications to their GM vehicle due to a disability.

What information must be reported on gm mobility reimbursement application?

Information such as the vehicle make and model, details of the mobility modifications made, total expenses incurred, and supporting documentation must be reported on the GM Mobility Reimbursement Application.