Driving Conditions — Check All That Apply
Accelerating ___ At
the Beginning of the
Acceleration ____
Down Hill ____
Hill ____

Cruising Between ____ MPH and ____ MPH
Cruising Between ____ km/h and ____ km/h

Up
City ____

Driving:
Highway ____

Stop and Go ____

Cruising Steady at:
____ MPH
____ km/h

Decelerating ____

During Braking ____

During Idle ____

During Shifts ____

Only With A/C ON ____

Only With Defrost
ON ____

No Throttle ____

Light Throttle ____

Medium Throttle ____

Hard Throttle ____

Wide Open
Throttle ____

Towing ____

Other (Describe) ____

At What Engine Temperature Does it Occur — Check All That Apply
When the Engine Temperature is ____ °F

When the Engine Temperature is ____ °C

Any Temperature ____

Bulletin No.: 01-00-89-010J

November, 2012

Page 17

Customer Concern Verification Sheet — Engine Driveability (cont'd)
Symptoms — Check All That Apply
Weather and Environment Conditions — Check All That Apply
Ambient Temperature:
Very Cold: Colder Than 0°F (−18°C) ____ Cold: 0°F to 32°F (−18°C to 0°C) ____ Cool: 32°F to 60°F (0°C to 16°C) ____
Warm: 60°F to 80°F (16°C to 27°C) ____ Hot: Hotter Than 80°F (27°C) ____
Any Environment ____
High Humidity ____

At Sea Level ____
Icy Conditions ____

At High Altitudes ____

Below Sea Level ____

Dry ____

Raining ____

Snowy
Conditions ____

Wet Roads ____

What Type of Fuel is Used
Biodiesel ____
Brands
(Describe) ____

Diesel #1 ____
Brands (Describe) ____

Ethanol E85 ____ What Blend / Alcohol % ____
Brands (Describe) ____

Diesel #2 ____
Brands
(Describe) ____
Regular Unleaded
____ Brands
(Describe) ____

Compressed Natural Gas (CNG) ____
(Describe) ____
Mid Range Unleaded
____ Brands
(Describe) ____

Brands

Premium Unleaded
____ Brands
(Describe) ____

When the Gear Selector is in What Range — Check All That Apply
Park / Neutral ____

Reverse ____

Low ____

Intermediate ____
Drive ____

Overdrive ____

Manual Gear Selection:
D1 __ D2 __ D3__ D4 __ D5 __ D6 __ D7 __
At What Shift Point Does it Occur — Check All That Apply
All Shift Points ____

Between Shifts From ____ MPH to ____ MPH

Between Shifts From ____ km/h to ____ km/h

Does it Occur During Certain Gear Shifts — Check All That Apply
Park to Reverse ____
Park to Drive ____

Reverse to Drive ____

First to Second ____
Second to Third ____

This Section Is For Dealer Use Only:
VIN: ____________________
Miles (km): ____________________
Advisor #: ____________________

Third to Fourth ____
Overdrive ____

Other Gear
(Describe) _________

Technician #: ____________________

Page 18

November, 2012

Bulletin No.: 01-00-89-010J

Customer Concern Verification Sheet — Electrical / Accessory

Customer Concern Verification Sheet — Electrical / Accessory
Electrical System, Component or Accessory — Check All That Apply
Antenna:
Backglass ____ Fixed Mast ____ Front
Windshield ____ Multi-Band (Roof) ____
Passenger Side Rear Window ____

Auxiliary (AUX) USB
Port ____

Bluetooth® ____

CD Player ____

Hard Disc Drive (HDD),
(Used to Store
Music) ____

Heating, Ventilation
and Air Conditioning
(HVAC) ____ Rear
HVAC ____

Clock ____

DVD Player ____

Heads Up Display
(HUD) ____

Inside Mirror ____

Instrument Panel ____

iPhone® ____

iPod® ____

Keyless Entry
System ____

MP3 ____

Navigation System
____ Navigation Map
Disc ____

OnStar® ____

Personal Audio Link
(PAL) ____

Keyless Entry System
Key Fobs:
One ____ Both ____

Radio ____

XM Radio® ____

Rear Seat Entertainment (RSE) System Remote
Controls:
One ____ Both ____
Wireless
Headphones ____

Universal Serial Bus
(USB) ____

Rear Seat Entertainment (RSE) System:
Audio ____ AUX Devices ____ AUX Input Jacks ____ Video ____
Video Screen(s) ____ Other ______________

Speakers ____

Warning Chimes ____

Wired Headphones
____ Wired
Headphone
Jacks ____

Other (Describe) ___________________
(Describe) ___________________

Other

Instrument Illumination — Check All That Apply
HVAC System:
Front ____
Rear ____

Inside Mirror ____

Instrument Panel ____

Radio ____

Rear Seat
Entertainment
System ____

Symptoms — Check All That Apply
Antenna:
Damaged ____
Missing ____

AUX Input Jacks
Unresponsive ____

CD Player:
CD Will Not Eject ____ CD Will Not Insert ____
Improper Function ____ Unresponsive ____

Auxiliary (AUX)
USB Port:
Unresponsive ____

Integral Multi Disc CD Changer:
CD Will Not Eject ____ CD Will Not Insert ____ Improper Function ____
Unresponsive ____ Other_______________

DVD Controls:
DVD Will Not Eject ____ DVD Will Not Insert ____ Improper Function
____ Unresponsive ____
Hard Disc Drive (HDD),
(Used to Store Music):
Improper Function
____
Unresponsive ____

Heads Up Display:
Improper Display ____ Inaccurate Display
____ Unresponsive ____

Rear HVAC Controls:
Improper Function
____
Unresponsive ____

Instrument Panel Controls:
Improper Function ____ Unresponsive ____
Other ______________

Improper Function ____

Bluetooth®:
Improper Function ____ Unresponsive ____
Voice Recognition Unresponsive ____

Keyless Entry:
Unresponsive ____ Insufficient Range ____
Function ____ Other ______________

DVD Displays Error Messages On the Rear Seat
Entertainment Video Screen ____

HVAC Controls:
Improper Function ____ Unresponsive ____
Voice Commands Unresponsive ____
iPod®:
Improper
Function ____
Unresponsive ____

One or More Fobs Do Not

iPhone®:
Improper
Function ____
Unresponsive ____
MP3:
Improper
Function ____
Unresponsive ____

Bulletin No.: 01-00-89-010J

November, 2012

Page 19

Customer Concern Verification Sheet — Electrical / Accessory (cont'd)
Electrical System, Component or Accessory — Check All That Apply
Navigation System:
Controls Improper Function ____ Controls Unresponsive ____ Inaccurate or Missing Information ____ Map Disc Will Not
Eject ____ Map Disc Will Not Insert ____ No Display ____ Voice Commands Unresponsive ____ Other ______________
OnStar®:
Dropped Calls ____ Improper Function ____ Mirror Controls Broken ____ Mirror Controls Unresponsive ____ OnStar ®
Mirror Light Does Not Transition From Red to Green ____ Poor Reception ____ Turn by Turn Will Not Connect ____
Unresponsive ____ Voice Commands Unresponsive ____ Other ______________
Personal Audio Link
(PAL):
Improper Function
____
Unresponsive ____

Radio Controls:
Unresponsive ____
Improper Function
____ Voice
Commands
Unresponsive ____

Radio Data System (RDS):
FM Station Name or Call Letters Do Not Display ____ Inaccurate
Information ____ Unresponsive ____ Radio Displays Error
Messages ____

Radio Noise:
High Tension Wire Interference ____ Radio / TV Transmission Tower
Interference ____
Identify the Band Being Used When it Occurs:
AM ____ FM ____ XM Radio®____

Radio Reception Quality:
Poor ____ Fades In and Out ____
Identify the Band Being Used When it Occurs:
AM ____ FM ____ XM Radio® ____

Radio Speaker Static:
Continuous ____ Only in Certain Areas ____
Identify the Source Being Used When it Occurs:
AM ____ FM ____ XM Radio® ____ CD ____ DVD ____ AUX ____ USB ____ MP3 ____ iPod® ____ Bluetooth® /
OnStar® Call ____ Rear Seat Entertainment ____ Rear Seat Audio ____
Speakers:
No Sound ____ Poor Sound ____
All Speakers ____ Left Front ____ Right Front ____ Left Rear ____ Right Rear ____
Rear Seat Audio
(RSA):
Improper Function
____
Unresponsive ____

Rear Seat Entertainment (RSE) AUX Input
Device:
Unresponsive to Video Game Console ____
Unresponsive to Camera ____ Unresponsive to
Other Device ____

Rear Seat Entertainment Remote Control(s):
One or Both Controls Are Unresponsive ____ Some Functions Are
Unresponsive ____

Rear Seat Entertainment Controls:
Improper Function ____ Unresponsive ____
Rear Seat Entertainment Video Screen(s):
Improper Function ____ Unresponsive ____

Speed Compensated Speaker Volume:
Improper Function ____ Unresponsive ____

Steering Wheel Controls:
Buttons Broken ____ Improper Function ____
Unresponsive ____

Warning Chimes:
Improper Function
____
Unresponsive ____

Wired Headphones:
Improper Function ____ Unresponsive ____

Wired Headphones Control Knob(s):
Unresponsive: Left ____ Right ____
Wired Headphone Jacks: Unresponsive ____

Wireless
Headphones:
Improper Function
____
Unresponsive ____

XM Radio®Improper Function ____
XM Radio®Unresponsive ____

Blows Fuses
(Describe) ____

Other (Describe) ____

Page 20

November, 2012

Bulletin No.: 01-00-89-010J

Customer Concern Verification Sheet — Electrical / Accessory (cont'd)
Electrical System, Component or Accessory — Check All That Apply
Operating Conditions — Check All That Apply
When Did the Concern Start ____

How Often Does it Occur ____

This Section Is For Dealer Use Only:
VIN: ____________________
Miles (km): ____________________
Advisor #: ____________________

“OnStar is a registered trademark of ONSTAR, LLC”
“Bluetooth is a registered trademark of Bluetooth
SIG, Inc.”
“iPhone is a registered trademark of Apple, Inc.”

How Long Does it
Last ____

Technician #: ____________________

“iPod is a registered trademark of Apple, Inc.”
“XM Radio is a registered trademark of SIRIUS XM
RADIO INC.”

GM bulletins are intended for use by professional technicians, NOT a "do-it-yourselfer". They are written to inform these
technicians of conditions that may occur on some vehicles, or to provide information that could assist in the proper
service of a vehicle. Properly trained technicians have the equipment, tools, safety instructions, and know-how to do a
job properly and safely. If a condition is described, DO NOT assume that the bulletin applies to your vehicle, or that your
vehicle will have that condition. See your GM dealer for information on whether your vehicle may benefit from the
information.

WE SUPPORT VOLUNTARY
TECHNICIAN
CERTIFICATION