CLAIM

Below you can claim on any tyres that have failed to meet their expected life span.

Full Name

Cell Number

Policy Number

Vehicle Registration

Date of Loss

Store Email Address

Only for sending you a copy. We will not save your details.

Store

Counterhand

Store Cell Number

Number of Tyres

DOT Code

Production code: the last four figures show the date of manufacture, e.g. 0119 indicates the 01st week of 2019.

Tread Depth

Additional Information

Tread Pattern

Tyre Size

Claim Amount Request

Photograph(s) of tyres

(Maximum file size: 2MB)

Drag & Drop to Upload File
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BROWSE FILES