Phone *
Email *
Date Vehicle Purchased from Carvana * MM 1 2 3 4 5 6 7 8 9 10 11 12 / DD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / YYYY 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920
Make & Model of Vehicle Purchased *
Vin Numbers *
Before you purchased your vehicle, did Carvana ever disclose to you that it might have trouble tilting the vehicle? * YES YES NO
If Carvana had disclosed to you that it might have had trouble titling the vehicle, would you have purchased the vehicle? * YES YES NO
Did Bridgecrest provide financing for your vehicle? * YES YES NO
Did you tell Bridgecrest that Carvana did not permanently register your vehicle? * YES YES NO
Did anyone at Bridgecrest tell you that it was aware that Carvana had trouble providing titles or permanent registrations to vehicles it sold? * YES YES NO
Were you damaged or harmed by Carvana’s failure to provide you the non-temporary registration or title to your vehicle? * YES YES NO
Did you receive the registration and titling you agreed to pay for when you purchased your vehicle? * YES YES NO
Did you receive the titling and permanent registration from Carvana more than thirty days after your purchase? * YES YES NO
Were you ever pulled over or detained by law enforcement related to registration issues related to your vehicle? * YES YES NO
Did any delays in Carvana titling and/or permanently registering your vehicle impact your ability to get to work, take your children to school, travel to see family members, or cause you any other hardship? * YES YES NO
Did you purchase your vehicle from Carvana to just sit in your driveway without valid registration or title? * YES YES NO
Did Carvana claim its delays in providing your permanent registration and or titling to your vehicle was due to the COVID-19 pandemic? * YES YES NO
As a result of the permanent registration and titling issues with your vehicle, was your vehicle repossessed? * YES YES NO
If your vehicle was repossessed, does your lender believe you owe it any money related to the car? * YES YES NO NOT APPLICABLE
What other damages or losses do you believe you sustained as a result of Carvana selling you a vehicle that it could not provide permanent registration and/or title? *
Do you have an attorney already representing you? * YES YES NO
Would you like one of the attorneys or their staff suing Carvana to contact you within 24 business hours to discuss your situation further and how you may join the class action lawsuit to protect your rights? * YES YES NO
Do you certify that information you have provided here is true and accurate to the best of your knowledge and you are providing it voluntarily to protect your rights and/or the rights of others like you and you would like to discuss this information and your situation with the attorneys and staff at the Consumer Law Center LLC and the Law Offices of Robert Cocco P.C.? * YES YES NO
