How to say “Please describe the broken wheel on this claim form before you leave the airport.” in Japanese

In Japanese

空港(くうこう)を出(で)る前(まえ)に、この申告書(しんこくしょ)に車輪(しゃりん)がどう壊(こわ)れたか書(か)いてください。

Kūkō o deru mae ni, kono shinkokusho ni sharin ga dō kowareta ka kaite kudasai.

Please describe the broken wheel on this claim form before you leave the airport. in other languages