This request form is intended for use by Truck Equipment Manufacturers with an existing DTNA Portal account for a new employee who needs access.
Note: This helps DTNA to identify the TEM account and more quickly create the new userid(s). (These IDs typically begin with C70*)
Please review this summary thoroughly to confirm the
information is correct.
Once you've submitted this form, you will no longer be able to edit its contents.
Are you certain you want to submit this form?
The call center has recieved your product concern.
The reference number for the concern is 11111111. Please use this reference for any future correspondence with the call center about this specific product.
If you have any questions, please email the Customer Assitance Center at firstname.lastname@example.org