Non-urgent Tyre Replacement Request Form

Tyre replacements are carried out at our preferred supplier, Halfords Autocentre.
Please only use this form for non-urgent tyre replacements, where your vehicle is driveable. If your vehicle is not driveable, please call 0121 521 3500.

Your details

Vehicle Registration

First Name

Last Name

Email Address

Company (if applicable)

Phone No.

Postcode

So we can find your nearest centre

Vehicle Details

Vehicle Make

Current Vehicle Mileage

Vehicle Model

Tyre Details

Which tyre/s need replacing?

Nearside - Front

Nearside - Rear

Offside - Front

Offside - Rear

Reason for replacement

Worn to 2mm or below

Damaged

Punctured

Please note: Any work outside of Autoserve's policy will be declined

Please provide any relevant image/s of the tyre/s which need replacing

Tyre size, including speed & load - Front

e.g. 205 / 55 / 16 / 91V. Type N/A if not relevant.

Tyre size, including speed & load - Rear

e.g. 205 / 55 / 16 / 91V. Type N/A if not relevant.

Current tyre brand fitted

Please note: Providing the wrong tyre size information, may lead to a charge back to the customer.

Preferred Fitting Date (please allow 7 workings days)

Other Relevant Information