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Home >> Mercedes Benz >> 2019 >> C300 4Matic, 2D Convertible >> Repair and Diagnosis >> Restraints >> Seat Belts >> Seats, Bunks, Restraint Systems - 205 Chassis 3 Of 3 >> Forms >> Customer Declaration, Replacement Of Front Passenger Seat, Deactivation Of Automatic Child Seat Recognition, SBE [Seat Occupied Recognition], Side bag, Seatbelt Warning Buzzer, Certification - OF91.00-P-1000-03AA

Customer Declaration, Replacement Of Front Passenger Seat, Deactivation Of Automatic Child Seat Recognition, SBE [Seat Occupied Recognition], Side bag, Seatbelt Warning Buzzer, Certification - OF91.00-P-1000-03AA

Model All 

Due to an express customer request as of.............. The function of the side bag, automatic child seat recognition (ACSR [AKSE]) and the seat occupied recognition (SBE) and the acoustic reminder to wear seat belts on the passenger-side have been deactivated. There is an increased risk of injury for occupants due to this measure. There may, in particular, be

as a consequence. Due to the lack of an acoustic reminder to wear seat belts there is the risk that the front passenger may forget to wear the seat belt.

This is expressly pointed out to the customer who undertakes likewise to inform other users of the vehicle. The sign "Warning! This vehicle does not have automatic child seat recognition!" was mounted to the right-hand side of the armatures.

(Copy sheet, cut off here and stick the upper section into the operator's manual at the start of the chapter on SAFETY)

Exclusion of liability, exemption and measures 

  1. 1st I hereby renounce all claims against Daimler AG, its associated subsidiaries and its sales partners, which arise - directly or indirectly - as a result of the modifications listed above and the associated increased risk of injury.
  2. I hereby release Daimler AG from all third-party claims and indemnification as stated under (1).
  3. Furthermore, I hereby commit myself to:
    1. To ensure that
      • The above-separated specification is always kept with the operator's manual and
      • The vehicle user/purchaser is notified about this and
    2. Any changes are immediately registered in the vehicle documents; and
    3. To inform the user/purchaser of the vehicle about the modification and the increased risk of injury associated with that.

Name and address of customer:

Date/signature of customer

Date/stamp and signature of Mercedes-Benz service operation

Process customer request - standard 

Reduction in seat belt warning tone

Customer:  Inquiry

Via sales to workshop or directly to workshop

Workshop: 

Customer and workshop: 

  1. 1st Fill out "Facts" form
  2. Fill out the customer declaration "Replacement of front passenger seat"
    • Leave modification date blank (important!)
    • Signature of customer + stamp and signature of workshop
  3. Customer identification

Send filled out forms (1+2) + copies (3) per fax to decision-maker (GSP/TP).

Fax no. +49-(0) 711-30 52 18 28 09

Decision-maker (GSP/TPx): 

Workshop: 

Decision-maker (GSP/TP): 

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