To participate in the New York State Auto Leasing

To participate in the New York State Auto Leasing Excess Wear and
Damage Arbitration Program, you must complete the attached form. Be
as accurate and complete as possible. You may send this form
electronically or by regular mail. Please attach copies of all relevant
documents (including your purchase or lease agreement, all service or work orders relating to the problem
for which you seek this arbitration, and any correspondence between you and the manufacturer or its
authorized dealer relating to such problem). DO NOT SEND ORIGINAL DOCUMENTS. Sign and
return the completed form, together with your documents, to:

New York State Attorney General's Office
120 Broadway --3rd floor
New York, NY 10271
Or Email to:

The Attorney General's Office will review your form and advise you whether your claim is accepted in the
arbitration program. If the form is accepted, you will be notified by the Attorney General's Office which
will then forward your form and documents to the New York State Dispute Resolution Association
, the Program Administrator. NYSDRA will then notify you to send it the required $75 filing
fee. Upon receipt of the filing fee, NYSDRA will begin processing your claim. If your form is rejected by
the Attorney General=s Office, it will be returned to you with a statement indicating the reason for its