Please complete the form below to submit a request for off tire information.
Dealer Account #:
Type of Off-Tire Submission
New Submission
Existing Submission
Please select either New or Existing Submission.
Bridgestone Fleet #:
*
Reference #:
*
Vehicle #:
*
# of Tire(s) Serviced
--Select One--
1
2
3
4
5
6
7
8
9
10
*
Casing Manufacturer
-- Select One --
*
Wheel Position
-- Select One --
*
Wheel Size
-- Select One --
*
Casing Type
-- Select One --
*
Tread Type
-- Select One --
*
Super Single Tire
*
Tire Width
-- Select One --
32nd of Tread Remaining
-- Select One --
*
Is this Tire/Casing Repairable?
Cause of Failure
-- Select One --
*
Will there be a casing credit issued?
*
Additional Failure Info:
Who Has Old Tire:
-- Select One --
*
Tire Photo Captured?
-- Select One --
*
© 2011-2017 Bridgestone Americas Tire Operations, LLC.
Contact Bridgestone Billing Services
Mon-Fri 7 A.M. to 5 P.M. CST
1-888-709-8023