This form is to be displayed next to Form 4 in the windscreen of a vehicle, or attached to a motor cycle, and may used by the dealer to notify a buyer of an existing defect, in the event that the dealer proposes to exclude the defect from warranty and/or to advise the buyer of an estimated repair cost.

The dealer's estimate of repair cost must not be understated because the dealer will be liable to compensate the purchaser for any shortfall.

The dealer is still responsible for any other warrantable defects not listed on Form 5.