Driver Support Non-urgent Tyre Replacement Request Form Order Number 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 * Select images 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
