S.T. Mobile- Programming Request Form

Shop Name

Email Address

Phone Number

Vehicle Year / Make / Model-

VIN

Which module is being programmed?

Is this a Is this a New Module Used Module Software Update Only

If new, where was the module purchased from?

What problem or issue is being corrected with the module replacement/ update?

Is the original module available? (This may be required) Is the original module available? (This may be required) Yes No

Does the new/replacement module communicate with a scan tool? Does the new/replacement module communicate with a scan tool? Yes No Not Checked

Was the replacement module installed properly and ready for programming? (In some cases we will instruct you to begin with the OG module installed) Was the replacement module installed properly and ready for programming? (In some cases we will instruct you to begin with the OG module installed) Yes No

Has any prior programming been attempted? If so, please describe-

Is the battery charged? (This is required for programming) Is the battery charged? (This is required for programming) Yes No

Is access to a power outlet available? Is access to a power outlet available? Yes No

Has the vehicle been tuned or PCM/ECM changed for performance? Has the vehicle been tuned or PCM/ECM changed for performance? Yes No

Notes