S.T. Mobile- ADAS Calibration Request Form

Shop Name

Email Address

Vehicle

Year

Make

Model

VIN

Engine (if relevant)

ADAS Info ADAS Info Forward camera Radar/Cruise Blind Spot 360 or Surround Camera Other

What component was replaced or removed?

Did any damage occur to the body or frame of the vehicle prior to repair? If so, please describe-

Was any collision or body repair work performed? If so, please describe-

If the repair work involved mounting brackets for radar sensors/modules, were the proper angles measured and verified post repair?

Was a wheel alignment performed after repair? Was a wheel alignment performed after repair? Yes No Not Applicable

Were all tire pressures verified? Were all tire pressures verified? Yes No Not Applicable

Is the bumper/grille installed or removed? Is the bumper/grille installed or removed? Installed Removed (Note: bumper/grille may need to be removed for mounting angle verification/adjustment.) Not Applicable

Is there adequate space and lighting for static calibration (targets)? (Note: Static calibrations cannot be performed outside.) Is there adequate space and lighting for static calibration (targets)? (Note: Static calibrations cannot be performed outside.) Yes No

If the calibration is dynamic (needs to be driven) Is the vehicle prepared to be driven? If the calibration is dynamic (needs to be driven) Is the vehicle prepared to be driven? Yes No

Additional notes or constraints?