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fca applications

Applications. There are two steps to the application process: (1) The candidate submits an online application form that includes names of endorsers. (2) Once that is complete, the system contacts each endorser with a link to an endorsement form. CANADA: FCA Canada, Inc. is committed to ensuring equal opportunity in employment, and supports Employment Equity programs to promote the more equitable participation of women, people with disabilities, Aboriginal Peoples of Canada, and member of visible minority groups. This application form must be completed in its entirety and signed by the customer and a franchised FCA US dealer or mobility dealer. FCA US will be the final judge as to the eligibility, interpretation and fulfillment of all elements of FCA US consumer incentive programs.


FCA Ministry Leader Application Form


Fill in the online form, print it and take to your dealership for their signature prior to submitting for vehicle equipment reimbursement. Or, you can print out a blank form and provide the required information and dealer signature, fca applications.

Please follow the claim instructions carefully and be sure that all sections of this form are completed before mailing to Driveability Program Headquarters. Consult your dealer or call Driveability Program Headquarters for eligibility requirements and program expiration dates.

Payment to the individual Driveability Program customer who purchased through a mobility dealer will be mailed within six weeks after receipt of an approved application form and all required documentation. EST Mon. All Rights Reserved. FCA strives to ensure that its website is accessible to individuals with disabilities, fca applications.

Should you encounter an issue accessing any content on www. Access to www. Toggle navigation, fca applications. Online Application Fill in the online form, print it and take to your dealership for their signature prior to submitting for vehicle equipment reimbursement. Required documents for reimbursement approval. Print Form. Retail Delivery Date. First Name. Last Name.

Telephone Number, fca applications. Dealer Address. Description of adaptive equipment installed:. Vehicles sold or leased and delivered to a customer by a participating franchised FCA US dealer or mobility dealer are eligible for payment under this program.

Certain types of fleet sales and leases may also qualify, fca applications. See dealer for details. Sales and installation of adaptive equipment on new FCA US vehicles by mobility equipment dealers may fca applications qualify for reimbursement. Contact Driveability Program Headquarters for further information.

The adaptive equipment must be fca applications within six months of vehicle purchase or lease. An fca applications form must be submitted to Driveability Program Headquarters within 60 days of complete installation of adaptive equipment. Note that for certain adaptations, such as wheelchair-capable vehicles, scooter hoists or hand controls the requirements for a medical note or prescription will be waived.

Running boards, alerting devices and similar-type adaptations must have medical documentation. Driveability Program Headquarters can answer questions about other adaptations. Factory-optional equipment is not reimbursable under this program. This application form must be completed in its entirety and signed by the customer and a franchised FCA US dealer or mobility dealer. Any payment or benefits received are subject to the Official Program Rules, fca applications, which have been made available to all participating dealers.

Small business owners and fleet accounts must fca applications a business license or legal documentation indicating that they provide services to the physically challenged in lieu of the prescription. I Agree. Please fill out all of the required fields. Download Form.

 

 

fca applications

 

Applications. There are two steps to the application process: (1) The candidate submits an online application form that includes names of endorsers. (2) Once that is complete, the system contacts each endorser with a link to an endorsement form. FCA Connect is our user management system for you to submit applications and notifications. Use it to notify us about approved persons or suspicious transactions or apply for MiFID II. CANADA: FCA Canada, Inc. is committed to ensuring equal opportunity in employment, and supports Employment Equity programs to promote the more equitable participation of women, people with disabilities, Aboriginal Peoples of Canada, and member of visible minority groups.