Warranty Claim - East Bay Tire Co.

Warranty Claim Form

BUSINESS NAME(Required)

CUSTOMER NAME(Required)

First Last

Email(Required)

VEHICLE INFORMATION

VEHICLE MAKE(Required)

VEHICLE MODEL(Required)

VEHICLE / EQUIPMENT YEAR

MAXIMUM OPERATING SPEED(Required)

APPLICATION / USE OF VEHICLE(Required)

ESTIMATED HOURS OF USE(Required)

ESTIMATED MILES OF USE(Required)

IS THIS THE OE TIRE SIZE?(Required)

YES

NO

UNKNOWN

Other

TIRE INFORMATION

DATE ON TIRE(Required)

OPERATING AIR PRESSURE(Required)

SIZE OF TIRE(Required)

PLY/LOAD RATING(Required)

REMAINING TIRE TREAD DEPTH(Required)

NEW TIRE TREAD DEPTH(Required)

DATE TIRES PURCHASED(Required)

BRAND(Required)

MODEL(Required)

SERIAL NUMBERS / DOT(Required)

DATE TIRES MOUNTED(Required)

WERE TIRES ORIGINAL EQUIPMENT?

YES

NO

HAS THE TIRE FAILED?

YES

NO

DESCRIPTION OF PROBLEM(Required)

Upload picture of complete tire(Required)

Drop files here or

Max. file size: 1 GB.

Upload picture of tread depth reading

Max. file size: 1 GB.

Upload picture of problem area (1/2)(Required)

Max. file size: 1 GB.

Upload picture of problem area (2/2)(Required)

Max. file size: 1 GB.