Platinum tire and rim protection claim form 2026

1. Click ‘Get Form’ to open the platinum tire and rim protection claim form in the editor.
2. Begin by filling out the Owner Information section. Enter the certificate holder's name, home telephone, street address, city, work telephone, province, and postal code.
3. Next, provide Vehicle Information. Input the year, make, model, registration certificate number, vehicle ID number, purchase date, kilometers at purchase, and kilometers at claim.
4. In the Repair Facility section, enter the dealer name and contact person along with their street address and city.
5. Complete the Claim Information section by detailing any tire repairs or replacements needed. Specify sizes and tread depths for each tire or rim involved.
6. Fill in the Repair Cost estimates for tires and rims including dealer costs and applicable taxes.
7. Finally, ensure you sign where indicated as the owner and submit your completed form via email or fax along with any required receipts for reimbursement.

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