Special Policy Adjustment

Subject:

05012 -- Special Policy Adjustment -- Fuel Tank Inlet Check Valve Fracture

Models:

2002 Chevrolet TrailBlazer EXT

2002 GMC Envoy XL

Condition

Some customers of 2002 model year Chevrolet TrailBlazer EXT and GMC Envoy XL vehicles may comment on an SES illumination, may be accompanied by a fuel odor, and/or a few drops of fuel on the ground when refueling the vehicle. This may be caused by a fracture of a weld on the fuel tank inlet check valve (ICV). The ICV is located above the full fuel level. A fracture in this area may allow fuel vapors to pass through and allow droplets of fuel to accumulate on the side of the fuel tank as it passes over the fracture during refueling.

This special policy covers the condition described above for a period of 7 years or 70,000 miles (110,000 km), whichever occurs first, from the date the vehicle was originally placed in service, regardless of ownership. The repairs will be made at no charge to the customer.

For vehicles covered by Vehicle Service Contracts, all eligible claims with repair orders on or after March 14,2005, are covered by this special policy and must be submitted using the labor operation codes provided with this bulletin. Claims with repair orders prior to March 14, 2005 must be submitted to the Service Contract provider.

Vehicles Involved

Involved are certain 2002 model year Chevrolet TrailBlazer EXT and GMC Envoy XL vehicles built within the following VIN breakpoints:

Year	Division	Model	From	Through
2002	Chevrolet	TrailBlazer EXT	22442652	22460353
2002	Chevrolet	TrailBlazer EXT	26100010	26138714
2002	GMC	Envoy XL	22437217	22460354
2002	GMC	Envoy XL	26100018	26138713

Parts Information

Parts required to complete this special policy are to be obtained from General Motors Service Parts Operations (GMSPO).

Part Number	Description	Qty/ Vehicle
15229310	Tank, Fuel	1 (if req'd)

Customer Notification

General Motors will notify customers of this special policy on their vehicles (see copy of typical customer letter included with this bulletin - actual divisional letter may vary slightly).

Service Procedure

Refer to the appropriate service procedure in SI to replace the fuel tank.

Claim Information

For vehicles repaired under the terms of this special policy, submit a claim with the information indicated below:

Repair Performed	Part Count	Part No.	Parts Allow	CC-FC	Labor Op	Labor Hours	Net Item
Replace Fuel Tank	1	--	*	MK-95	T5613	2.0	N/A
Reimbursement for Previous Repairs	N/A		N/A		T5614		**
Canadian Dealers						0.2
U.S. CAC						N/A
* -- The "Parts Allowance" should be the sum total of the current GMSPO Dealer Net price plus applicable Mark-Up or Landed Cost Mark-up (for Export) for the fuel tank needed to complete the repair. ** -- The amount identified in the "Net Item" column should represent the customer reimbursement amount.

Customer Reimbursement - For US

All customer requests for reimbursement for previous repairs for the special policy condition will be handled by the Customer Assistance Center, not by dealers.

A General Motors Special Policy Customer Reimbursement Procedure Form is included with the customer letter.

Important: Refer to the GM Service Policies and Procedures Manual, section 6.1.12, for specific procedures regarding customer reimbursement and the form.

Customer Reimbursement - For Canada

Customer requests for reimbursement of previously paid repairs for a fuel tank inlet check valve fracture are to be submitted prior to or by March 31, 2006. Repairs must have occurred within 7 years of the date the vehicle was originally placed in service, or 110,000 km, whichever occurs first.

When a customer requests reimbursement, they must provide the following:

•	Proof of ownership at time of repair.

•	Original paid receipt confirming the amount of unreimbursed repair expense(s) (including Service Contract deductibles), a description of the repair, and the person or entity performing the repair.

If the work was done by someone other than a GM dealership, the amount of reimbursement will be limited to the amount that the repair would have cost GM to have it completed by a GM dealership.

GENERAL MOTORS PRODUCT PROGRAM CUSTOMER REIMBURSEMENT PROCEDURE

If you have paid to have this special policy condition corrected prior to this notification, you may be eligible to receive reimbursement.

Requests for reimbursement may include parts, labor, fees and taxes. Reimbursement may be limited to the amount the repair would have cost if completed by an authorized General Motors dealer.

Your claim will be acted upon within 60 days of receipt.

If your claim is:

•	Approved, you will receive a check from General Motors.

•	Denied, you will receive a letter from General Motors with the reason(s) for the denial, or

•	Incomplete, you will receive a letter from General Motors identifying the documentation that is needed to complete the claim and offered the opportunity to resubmit the claim when the missing documentation is available.

Please follow the instructions on the Claim Form provided on the reverse side to file a claim for reimbursement. If you have questions about this reimbursement procedure, please call the toll-free telephone number provided at the bottom of the form. If you need assistance with any other concern, please contact the Chevrolet Customer Assistance Center at 1-800-630-2438 or the GMC Customer Assistance Center at 1-866-996-9463. The deaf, hearing impaired, or speech impaired should call 1-800-833-2438 (Chevrolet ) or 1-800-462-8583 (GMC) (Utilizes Telecommunication Devices for the Deaf/Text Telephones, TDD/TTY).

GENERAL MOTORS PRODUCT PROGRAM CUSTOMER REIMBURSEMENT CLAIM FORM

THIS SECTION TO BE COMPLETED BY CLAIMANT

Date Claim Submitted:

Vehicle Identification Number (VIN):

Mileage at Time of Repair:

Date of Repair:

Claimant Name (please print):

Street Address or PO Box Number:

City, State, ZIP Code:

Daytime Telephone Number (include Area Code):

Evening Telephone Number (include Area Code):

Amount of Reimbursement Requested: $

THE FOLLOWING DOCUMENTATION MUST ACCOMPANY THIS CLAIM FORM

Original or clear copy of all receipts, invoices and/or repair orders that show:

•	The name and address of the person who paid for the repair.

•	The Vehicle Identification Number (VIN) of the vehicle that was repaired.

•	What problem occurred, what repair was done, when it was done and who did it.

•	The total cost of the repair expense that is being claimed.

•	Payment for the repair in question and the date of payment.

(copy of front and back of cancelled check, or copy or credit card receipt.)

My signature to this document attests that all attached documents are genuine and I request reimbursement for the expense I incurred for the repair covered by this special policy.

Claimant's Signature:

Please mail this claim form and the required documents to:

General Motors Corporation

P.O. Box 33170

Detroit, MI 48232-5170

All recall reimbursement questions should be directed to the following number: 1-800-204-0261.

March 2005

Dear General Motors Customer:

As the owner of a 2002 model year Chevrolet TrailBlazer EXT or GMC Envoy XL, your satisfaction with our product is very important to us.

This letter is intended to make you aware that some 2002 model year Chevrolet TrailBlazer EXT and GMC Envoy XL vehicles may have a condition where the Service Engine Soon (SES) light may illuminate, may be accompanied with a fuel odor, and/or a few drops of fuel may fall on the ground when refueling the vehicle. This may be caused by a fracture of a weld on the fuel tank inlet check valve (ICV). SES light activation does not necessarily mean that the condition is due to the fuel tank ICV fracture. Except when SES light activation is accompanied by the additional conditions mentioned, please consult your Owner’s Manual. The fuel tank ICV is located above the full fuel level. A fracture in this area may allow fuel vapors to pass through and allow droplets of fuel to accumulate on the side of the fuel tank as it passes over the fracture during refueling.

This is not a recall . Do not take your vehicle to your GM dealer as a result of this letter unless you believe that your vehicle has the condition as described above.

What We Have Done

General Motors is providing owners with additional protection for the fuel tank ICV. If this condition occurs on your 2002 model year Chevrolet TrailBlazer EXT or GMC Envoy XL within 7 years of the date your vehicle was originally placed in service or 70,000 miles (110,000 km), whichever occurs first, the condition will be repaired for you at no charge .

What You Should Do

Repairs and adjustments qualifying under this special coverage must be performed by a General Motors dealer. You may want to call the service department at your dealer to find out how long they will need to have your vehicle so that you may schedule the appointment at a time that is convenient for you. This will also allow your dealer to order parts if they are not already in stock. Keep this letter with your other important glove box literature for future reference.

Reimbursement

The enclosed form explains what reimbursement is available and how to request reimbursement if you have paid for repairs for the special policy condition.

If you have any questions or need any assistance, just contact your dealer or the appropriate Customer Assistance Center at the number listed below. The Customer Assistance Center’s hours of operation are from 8:00 AM to 11:00 PM, EST, Monday through Friday.

Division	Number	Text Telephones (TTY)
Chevrolet	1-800-630-2438	1-800-833-2438
GMC	1-866-996-9463	1-800-462-8583
Puerto Rico - English	1-800-496-9992
Puerto Rico - Español	1-800-496-9993
Virgin Islands	1-800-496-9994
Guam	1-671-648-8650

We are sorry for any inconvenience you may experience; however we have taken this action in the interest of your continued satisfaction with our products.

General Motors Corporation

Enclosure

05012