BluePrint Engines Report an Issue Form

Please complete the following information and a representative will contact you.

Form Completed By

Vehicle Owner

Shop/Mechanic

BluePrint Engines Dealer

Preferred Method of Contact

Email

Phone

Text

Was your engine installed by a certified shop?

If no, please list who did the install.

Yes

No

Who did the install?

Your Contact Information:

First Name*

Last Name*

Country*

Shipping Address*

City*

State

Zip Code/Postal Code

Phone number*

Email*

Engine Information:

Serial Number*

Printed on packing envelope and installation guide. Also on engine block (left side toward back).

Part Number

Printed on packing envelope and installation guide.

Vehicle Owner Information:

Vehicle Owner's First Name*

Vehicle Owner's Last Name*

Vehicle Owner's Shipping Address*

Please include the City, State and Zip

Vehicle Owner's Phone Number*

Vehicle Owner's Email*

Installer/Shop Information:

Leave blank if not applicable or unknown.

Install Shop Name

Install Contact Person

Install Shop Shipping Address

Install Shop Phone Number

Install Shop Email

Current Shop Information:

Leave blank if not applicable or unknown.

Current Shop's Name

Current Shop's Contact Person

Current Shop's Shipping Address

Current Shop's Phone Number

Current Shop's Email

Vehicle Information:

Year*

Make*

Model*

Mileage at Time of Install*

Mileage at Time of Issue*

Transmission

Automatic

Manual

Power Steering?

Yes

No

A/C?

Yes

No

Date of Engine Install or First Fire Up*

Month/Day/Year

Date of When the Issue was Noticed*

Month/Day/Year

Issue Description*

Please confirm that the form is completed and press the 'REGISTER' button below to send us your warranty request.

Please describe the issue you are experiencing and anything you've done to test or resolve the issue.