Fluid Leak Concern Worksheet Fluid Leak Concern Worksheet Your name * Phone * Email Vehicle Details - Year / Make / Model * Mileage The Leak Occurs Always Sometimes Rarely When did you notice the concern? Suddenly Gradually Recently Since New Since a service or repair was done After an Abnormal Instance What abnormal instance caused the issue? What service was done? What color is the fluid? Red Orange Yellow Green Blue Pink Brown Black Clear Unsure Where do you think the leak is located? Drivers Side Front Passengers Side Front Drivers Side Rear Passengers Side Rear Middle of Vehcile Sunroof Door Front Rear OtherOther Do you have to add fluid? Yes No How often are you adding fluid? Daily Every Few Days Weekly Monthly Are there any warning lights on? Yes No What warning lights are on? Coolant Transmission Washer Fluid Fuel Oil Brake Differential Power Steering OtherOther Have you done any repairs to try and correct this concern? Yes No What repairs were done to try and fix this issue? reCAPTCHA If you are human, leave this field blank. Submit Δ
