Tire Price Assurance

Please complete the claim form below.
Do not include sales tax.
All fields must be complete to be considered for reimbursement.
Make sure your claim is eligible and meets our program Guidelines.

Dealership Info

RO Date

RO Number

Dealership Code

Dealership Name

Contact Name

Phone Number

e.g. "(555) 555-5555"

Address

City

Province

Postal Code

e.g. "A1A 1A1"

Tire Info

Tire Program Sku / Part Number

Brand

Model

Size

Load and Speed Rating

Competitor Info

Competitor Name

Address

City

Province

Postal Code

e.g. "A1A 1A1"

Price Info

Competitor pre-tax price per tire

Road hazard coverage per tire

If not included in quote, add $8 to the competitor tire price (not install price)

Total competitor price per tire

Customer actual sales price or suggested retail price per tire

(before tax), whichever is lower.

Difference per tire

Number of tires sold

Total customer discount/reimbursement

Upload Proof

Please upload proof of customer receipt and competitor pricing in one the following formats; JPG or PNG

Once you are done filling out the above fields press review claim

Have Questions?

If you have any questions, contact Audi Tire Centre Program Headquarters at 1‑844‑444‑4033.

Claim Form Summary

Please review the info below and verify that all info is correct.

Dealership Info

Dealership Name:

Contact Name:

Email:

Phone Number:

Address:

City:

Province:

Postal Code:

Dealership Code:

Tire Info

Brand:

Model:

Size:

Load & Speed Rating:

Tire Program Sku/Part Number:

Competitor Info

RO Date:

RO Number:

Name:

Address:

City:

Province:

Postal Code:

Price Info

Competitor pre-tax price per tire

Road hazard coverage per tire
If not included in quote, add $8 to the competitor tire price (not install price)

Total competitor price per tire

Customer actual sales price or suggested retail price per tire
(before tax), whichever is lower

Difference per tire

Number of tires sold

Total customer discount/reimbrusement

Uploaded Proof

View Customer Receipt/Repair Order

View Competitor Price/Proof

Please make sure all the information above is correct.

Edit Claim

Have Questions?

If you have any questions, contact Audi Tire Centre Program Headquarters at 1‑844‑444‑4033.