### EPA VERR# 4143

Received: December 15, 2010

### EPA VERR# 4143

Received: December 15, 2010

### EPA VERR# 4143

Received: December 15, 2010

### EPA VERR# 4143

Received: December 15, 2010Mazda North American Operations

Technical Services Division

1444 McGaw Ave.

Irvine, CA 92614-5570

www.MazdaUSA.com December 2010

2009-2010 Mazda5 Fuel Pump Connector Safety and Emission Recall 6110K

Dear Mazda Owner:

This notice is sent to you in accordance with the requirements of the National Traffic and Motor Vehicle

Safety Act.

Mazda Motor Corporation has decided that a defect which relates to motor vehicle safety exists in

certain 2009-2010 Mazda5 vehicles, produced from June 29, 2009 through April 28, 2010.

If you are a recipient of this notice, your vehicle is included in this recall.

What is the problem?

On certain Mazda5 vehicles, water may not be removed completely from the harness connector of the

fuel pump due to variations in the fuel tank leak check process performed before vehicle assembly. As

a result, the connector pin may corrode, potentially causing the pin to break which can lead to an

inoperative fuel pump, engine stall and the inability to restart the engine.

What will Mazda do?

Your Mazda dealer will inspect the fuel pump connector, and if necessary, replace the fuel filter body

with a new one and repair the harness free of charge . The repair may take approximately one hour to

complete; however, it may take longer depending on the necessary repair and service workload at your

Mazda dealership.

As a reminder, Mazda may provide alternate transportation when your vehicle is at an authorized

Mazda dealership for a warranty repair. To be eligible for alternate transportation, your vehicle must be

within the mileage and time limitations under the Mazda New Vehicle Limited Warranty or Powertrain

Limited Warranty for 2007 and newer model years, and adhere to the Rental Car Reimbursement policy.

Ask your dealer for details about the Mazda Rental Car Reimbursement Program.

What should you do?

Mazda is concerned about your safety, and we encourage you to make an appointment with any

authorized Mazda dealer to have the fuel pump connector inspected as soon as possible. You do not

need to bring this notice to the dealer, but it may assist in the check-in process. 

### EPA VERR# 4143

Received: December 15, 2010Mazda North American Operations

Technical Services Division

1444 McGaw Ave.

Irvine, CA 92614-5570

www.MazdaUSA.com Page 2

Emission Law Information:

To ensure your full protection under the emission warranty made applicable to your vehicle by State or

Federal Law, and your right to participate in future recalls, it is recommended you have your vehicle or

engine serviced as soon as possible. Failure to do so could be d etermined as lack of proper

maintenance of your vehicle. Also, your vehicle may fail a state or local emission inspection if this recall

is not completed.

Important notice to owners registering vehicles in California, Massachusetts, and Vermont: California

Department of Motor Vehicles, Vermont Department of Motor Vehicles, and the Commonwealth of

Massachusetts, in conjunction with the California Air Resources Board and the Environmental

Protection Agency for the State of Massachusetts and Vermont, have implemented the Registration

Renewal/Recall Tie-In Program, which requires the completion of Emission Recalls prior to registration

renewal. Mazda dealers will provide a Vehicle Emission Recall - Proof of Correction Certificate upon

completion of the recall. Be sure to keep the proof of correction certificate provided by the Mazda

Dealer until needed for the registration renewal process.

What if you already paid for repair on fuel pump, fuel filter and/or harness?

If you have already paid for the inspection, repair or replacement of the fuel pump, fuel filter and/or

harness due to corrosion on the fuel pump connector terminal, prior to receiving this notice, you may be

eligible for reimbursement of reasonable repair expenses based on Mazda’s repair standards.

Please complete the enclosed “Reimbursement Application Form”, include the necessary

documentation, and mail it to us in the pre-addressed envelope provided, allowing 6-8 weeks for

processing.

Where is the closest Mazda dealer?

To locate your nearest Mazda dealer, visit our web site and try our “Locate a Dealer” feature at

www.MazdaUSA.com or consult your local yellow pages.

Moved or no longer own this vehicle?

If you have moved or no longer own your Mazda vehicle, please complete the enclosed prepaid

Information Change Card as soon as possible. This enables us to update our records and notify the

current owner.

Federal law requires that any vehicle lessor receiving this recall notice must forward a copy of

this notice to the lessee within ten days. 

### EPA VERR# 4143

Received: December 15, 2010Mazda North American Operations

Technical Services Division

1444 McGaw Ave.

Irvine, CA 92614-5570

www.MazdaUSA.com Page 3

Still have questions?

If you have any questions regarding this campaign, please contact our Customer Assistance Center at

(800) 222-5500, option #6.

If Mazda or its dealers do not repair the defect free of charge and within a reasonable amount of time,

you may notify the Administrator of the National Highway Traffic Safety Administration, 1200 New

Jersey Ave., SE., Washington, DC 20590; or call the toll-free Vehicle Safety Hotline at 1-888-327-4236

(TTY: 1-800-424-9153); or go to http://www.safercar.gov

.

We actively work to improve our products and search for solutions to improve your ownership

experience. Please accept our apologies for any inconvenience this recall may have caused you.

Sincerely,

Mazda North American Operations 

### EPA VERR# 4143

Received: December 15, 2010(SEE REVERSE SIDE FOR APPLICATION FORM) REIMBURSEMENT PLAN

Requirements for Reimbursement

If you meet all of the following requirements, you are eligible to receive reimbursem ent under this plan:

1. You own or have owned a 2009-2010 Mazda5 vehicles built between June 29, 2009 and April 28, 2010.

2. You have paid for the inspection, repair or replacement of the fuel pump, fuel filter and/or harness due to corrosion

on the terminal of fuel pump connector.

3. You have an original or legible copy of the paid repair order or invoice receipt showing:

Description of the concern reported

Inspection, repair or replacement of the fuel pump, fuel filter and/or harness due to corrosion on the fuel pump

connector terminal

Vehicle model and year, and vehicle identification number (VIN)

Your name and address at the time of repair

4. Mail this reimbursement application form in the enclosed envelope to:

Mazda North American Operations

Attn: Recall Reimbursement Dept

P.O. Box 57085

Irvine CA 92619-7085

Procedure for Reimbursement Request

Once your vehicle has had the fuel pump, fuel filter and/or harn ess inspected, repaired or replaced by an authorized

Mazda dealer due to corrosion on the fuel pump connector terminal, you may apply for reimbursement by doing the

following:

1. Complete the Reimbursement Application Form found on the reverse side of this page.

2. Mail the Reimbursement Application Form with a legible copy of the paid repair or der and/or invoice using the

enclosed envelope.

3. Retain copies of the paid repair order or invoice and this application form for your records.

4. You will be reimbursed for the amount you have paid for the inspection, repair or replacement of the fuel pump, fuel

filter and/or harness due to corros ion on the fuel pump connector terminal.

If you wish to correspond with Mazda regarding this reimburse ment plan, please write to the a bove address and refer to

your vehicle identification number (VIN).

Any reimbursement application form that is incomplete, illegible, or sent without the legible copy of the paid repair order

or invoice will be returned for completion. If Mazda has any questions concerning your application for reimbursement,

you may be contacted. Please allow 6-8 weeks for processing. 

### EPA VERR# 4143

Received: December 15, 2010( SEE REVERSE SIDE FOR REIMBURSEMENT PLAN DETAILS ) REIMBURSEMENT APPLICATION FORM

2009-2010 Mazda5 Fuel Pump Connect or Safety and Emission Recall 6110K

(Please type or print)

Name:

First Middle Last

Address:

Street Address

City State Zip Code

Home:

Phone Number:

Work:

Vehicle Identification Number (VIN):

(17 digits in length)

Total Amount of Reimbursement Requested:

.

Dollars Cents



## General Release

I am submitting to Mazda Motor Corporation (“Mazda”) a claim for reimbursement for all inspection, repair or

replacement of the fuel pump, fuel filter and/or harness perfo rmed to date in connection with corrosion on the fuel pump

connector terminal. The vehicle identification number (VIN) is:

VIN:

In exchange for Mazda’s payment of that claim, I hereby release Mazda, its agents, and its related entities from

all claims for such inspection/repair costs. This release shall benefit Mazda and its authorized agent Mazda

North American Operations, its regions/distributors (foreign and domestic), its authorized dealerships, and all

their respective directors, officers, agents, employees, divisions, subsidiaries, and affiliated companies. This

release shall bind my heirs, successors and assigns

.

Dated: Signed: INSTRUCTIONS FOR GENERAL RELEASE DESCRIBED BELOW:

Please read thoroughly

Fill in vehicle identification number

Sign the General Release (below) 

### EPA VERR# 4143

Received: December 15, 2010