VWGoA ODIS Service and Security Application

VWGoA has established the Independent Repair Shop ODIS Service Program (the Program). The Program is a list of persons that
have met the requirements to be eligible to receive the necessary IDs and passwords in order to use all the non-security related
functions of ODIS system and other information necessary to diagnose applicable VWGoA Vehicles. Persons that complete this form
and submit the required fees are applying for inclusion into the Program. Applicants understand that they are agreeing to undergo a
background check, as described herein, and abide by the rules established by VWGoA for participation in the program.
Rules:
1. Abide by applicable licensing and business regulations, this Program Application and Agreement (this Agreement) and the Terms & Conditions of
Use, a copy of which is attached hereto and made available on the VWGoA website (the Terms and Conditions of Use). VWGoA may change the
Terms and Conditions of Use at any time, and from time to time, without notice other than posting such updated Terms and Conditions on its
website.

CANDIDATE (PLEASE TYPE OR PRINT)

First Name Last Name Middle Name Professional Designation

Business Name DBAs (Attach additional sheet if necessary)

Type of Entity

Equipment Type (laptop or VAS Tester) Equipment Model (HP, Dell or 6150a, 6150b, 6150c,6160)

Mailing Address Physical Business Address

City State Zip Code County

Work Phone Mobile Phone Fax Number Home Phone

Email Address

Home Address * How long at this address?

City State Zip Code County

*Previous Address (if less than 5 years at current address)

City State Zip Code County

*LIST ADDITIONAL ADDRESSES TOTALLING 5 YEARS on additional sheets, if necessary

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When finished, email your application to vwgoa@arvatousa.com
VWGoA ODIS Service and Security Application
PROFESSIONAL LICENSING
Does the state in which you do business require a license to perform automotive services? __ Yes __ No
(Note: if state or local statute/ordinance requires a license, you must maintain a valid license to gain entry/remain in the Program)

Are you licensed to perform automotive services in your state? __ Yes __ No

If yes, license number List State Federal Tax ID #

PROFESSIONAL REFERENCE INFORMATION

Names and Phone Numbers of two industry-related references (required):
Name_________________________________________ Phone ( ___ ) _____-_______

Name_________________________________________ Phone ( ___ ) _____-_______

IMPORTANT: Have you ever been convicted of a crime? _____No _____Yes

If yes, please give details on a separate sheet

AGREEMENT
Applicant makes the following agreements in order to be included in the Program:
1. Term. I understand this inclusion into the Program is for a period of one (1) year (the Initial Term), provided that my inclusion is
not earlier suspended or terminated as described herein. I will have to reapply for active status prior to the expiration of such one
(1) year period if I desire my membership to continue uninterrupted. This Agreement will continue for additional one (1) year terms
only upon the approval by VWGoA or its designated administrator that I have met the requirements for continuation.
2. Confidentiality. I understand that (a) key codes, immobilizer codes and any other information acquired through use of the
Program and automaker websites, and (b) insights gained into trade secrets or proprietary methods of doing business by
automakers through use of the Program will be treated as strictly confidential and must not be shared with anyone and may not be
used by me, my company or any of my employees for any purpose other than to provide repair services to the registered owner of
the applicable automobile. I understand that it is a violation of Program policy to share any information acquired through use of the
Program with any sub-contractor or other agent my company may use. The foregoing obligations of confidentiality shall survive a
termination of this Agreement.
3. Terms and Conditions. I acknowledge that VWGoA will have its own policies and terms and conditions of use on its website for
access to its website and/or call center, including without limitation with respect to access to automotive security related service
information and the jurisdictions for which automotive security related service information may be accessed; and VWGoA will have
no liability of any nature whatsoever for any denial of access to any of its automotive security related service information, except
the NASTF dispute resolution process, called the Service Information Request System, to address inquiries involving the release of
their Automotive Security Related Service Information. I understand that I am not to re-sell, share, barter, or trade any information
obtained from automakers websites. I agree to indemnify VWGoA and their affiliates, successors, assignees, and nominees from
any and all claims, losses, or costs (including reasonable attorney's fees) arising from any acts or omissions of the undersigned,
and the undersigneds employees, subcontractors, or agents.
4. Suspension and Termination. I understand that my participation in the Program is at the sole discretion of the VWGoA and/or its
designated administrator. I hereby agree that I, my company may be suspended or irrevocably excluded from the Program (in
which event this Agreement shall terminate) and denied access to automotive security related service information on automakers
websites for (a) felony or equivalent convictions, and/or (b) violation of the Terms & Conditions of Use, and/or (c) violation of any of
the terms and conditions set forth in this Agreement.
5. Right to Appeal. I understand that I may appeal a decision to suspend or terminate me and/or my company to a review board
provided by the NASTF, Vehicle Security Committee, pursuant to the process set forth in the Terms and Conditions of Use, and
that the decisions of the review board are final.
6. Disclosure of Previous Crimes. I freely and willfully disclose all previous crimes of which I have been convicted, excluding minor
traffic violations. I authorize any inquiries necessary regarding these matters (if none, put none, use extra paper if necessary to
include the nature of the charges, state and county of jurisdictions, and dates):
DISCLOSURE: __________________________________________________________________________
7. Fees and Dues. I understand I am herewith enclosing the application fee for the Program only and that I may have to pay a fee
schedule as provided by VWGoA for access to their sites. I understand that the annual fees may be changed by VWGoA at any
time and from time to time, without notice. I understand that I will have to reapply at the end of the Initial Term and pay required
fees to maintain my membership in the Program.
8. Consent. I give my agreement and authorization by my signature, below, for VWGoA, or any other administrator of the Program
designated by VWGoA, to review my application and any publicly available information for the purpose of verifying the information
submitted by me and to conduct a security/background, and agree to any further background checking deemed necessary. I further
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When finished, email your application to vwgoa@arvatousa.com
VWGoA ODIS Service and Security Application
authorize VWGoA, or any other administrator of the Program to share my information with Infolink or another third party provider for
the purpose of conducting the background search. My signature is proof that I certify all statements made herein to be true
statements. My signature signifies my complete acceptance of the terms and conditions outlined in this document.
9. Disclaimer. THE PROGRAM IS PROVIDED "AS IS" WITH NO WARRANTIES WHATSOEVER, AND NEITHER VWGoA, NOR
ITS DESIGNATED ADMINISTRATOR, MAKES ANY REPRESENTATIONS OR WARRANTIES, EITHER EXPRESS OR IMPLIED,
INCLUDING BUT NOT LIMITED TO WARRANTIES OF NON-INFRINGEMENT, MERCHANTABILITY OR FITNESS FOR ANY
PARTICULAR PURPOSE OR USE OR THAT THE OPERATION OF THE PROGRAM WILL BE UNINTERRUPTED OR ERROR
FREE. NEITHER VWGoA NOR ITS DESIGNATED ADMINISTRATOR SHALL BE LIABLE TO APPLICANT OR IS SUB-
ACCOUNT HOLDERS FOR ANY INDIRECT, CONSEQUENTIAL, INCIDENTAL, EXEMPLARY OR PUNITIVE DAMAGES,
INCLUDING LOST PROFITS, REGARDLESS OF THE FORM OF ACTION OR THE THEORY OF RECOVERY, EVEN IF VWGoA
OR ITS DESIGNATED ADMINISTRATOR HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES, AND THE TOTAL
AGGREGATE LIABILITY OF VWGoA AND IS DESIGNATED ADMINISTRATOR SHALL BE LIMITED TO AN AMOUNT EQUAL
TO THE ANNUAL FEES PAID BY APPLICANT.
10. Attestation. I hereby attest that I have read the Terms and Conditions of Use (attached herein & available on the VWGoA website)
and agree that I understand the Terms and Conditions of Use, and the terms and conditions of this Agreement.

The undersigned has duly executed and delivered this Agreement as of the date set forth below.

Print Full Name:

Sign Full Name: (in the presence of a notary, while presenting picture I.D.)

Date:

REGISTRY APPLICATION FEE

The application fee is $100

APPLICATION CHECKLIST
Your application must be accompanied by the following:
application fee
business card or letterhead with business name
copy of business license if required by your state or local jurisdiction
copy of your locksmith license if required by your state or local jurisdiction

Once you have completed the form, you will need to go to the following website:

https://www.vw.techliterature.com
Click on the Consumer Website icon
Click on the Diagnostics Heading
The SKU# you are looking for is VWREGIMMOBILIZER which is for the $100.00 application fee that has
to be submitted with your application

Please note that you MUST perform the above steps before your application will be processed.

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When finished, email your application to vwgoa@arvatousa.com
VWGoA ODIS Service and Security Application
Online link with diagnostic tester VAS 6150 for training (adaption) of immobilizer components, control
module reprogramming and adapt vehicle keys. To obtain access for using the security system this form
must be filled out completely, proper signature obtained and sent to Volkswagen Group of America, Inc.
(VW) Information Security via facsimile to 248 754-6302.

We wish to register the following member of our staff who

will be responsible for the enabling of immobilizer
components for our repair shop via the online link with COMPLETE ALL INFORMATION
diagnostic tester VAS 6150 A, B , C
Repair Shop #_________________________________ Place a legible copy of your drivers license
Last Name: ___________________________________ in this box.
First Name: ___________________________________
Please be sure you can read all information
Phone # _____________________________________
Drivers License # ______________________________ Please be sure to sign application and have
Date of Birth: __________________________________ application signed by the Service Manager
Email:________________________________________

Type of Request: [ ] New [ ] Modify (add to existing ID) [ ] Dealer Change [ ] Termination
LSID
Type of Access: [ ] Audi [ ] VW number:________________________________________
Security Provisions/Unauthorized Use
The use of the user ID is subject to the following conditions:
1. The individual functions that are available via access to the System may only be employed by the user for the purpose of
specific tasks forming part of his or her assigned duties. Use for any other purposes is not permitted.
2. Sharing data acquired through the System with third parties is expressly prohibited, unless VW has given prior written consent.
3. Data acquired through the System may only be retained and stored temporarily and must be deleted immediately after
completion of the relevant task.
4. The use of any VW user ID other than that assigned to the user is prohibited. Similarly, the password assigned for the System
must not be made available to any third parties (including other repair shop employees).
5. VW must be notified accordingly for de-registration when access to the System is no longer required.
All transactions performed in connection with this user ID will be recorded. The recorded information will be evaluated in accordance
with the provisions of the relevant industrial code and data protection statutes.
Prior to replacement or training (adaption) of engine control units, immobilizer components (either the separate unit or the
instrument cluster), keys or lock sets the customer is required to produce identification (driver's license, passport, etc.) and proof of
vehicle ownership. The repair shop will note the details of this identification on the repair order.
To protect the customers interests, the repair shop is required to make a copy of the customers identification and documentation
and file them along with the repair order. If it is not possible to make a copy of the identification and proof of ownership, the repair
shop should obtain this information and add it to the other details of the customer already recorded. The repair shop employee
should personally verify this information against the VIN number on the vehicle and confirm that the information is correct by
entering his/her name on the repair order.
The complete recorded documentation must be furnished to VW on request at any time for verification. The replacement or training
(adaption) of engine control units, immobilizer components (either the separate unit or the instrument cluster) or keys may only be
performed by authorized VW repair shops, and on no account by unauthorized third parties.

Statement of Obligation
The undersigned confirms that he/she has read and understood the above security provisions and that he/she will fulfill the resulting
security obligations without exception.

___________________ _________________ __________________ ____________________

Applicant Last Name First Name Applicant Signature Date

For use by Security Administration

CPIS ID_________________ RACF ID________________ Created by:______________ Date:____________________

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When finished, email your application to vwgoa@arvatousa.com