You have reached TNS Insurance Agency Tire & Wheel claims form submission page.

Once all the questions have been answered and the form has been submitted, a TNS processing agent will review the claim within 2 business hours if it is filed between 9am - 5pm Eastern Standard Time Monday - Friday. . If the claim is filed online outside of the hours of 9 AM-5 PM Monday-Friday the claim will be reviewed by the end of the next business day. After the claim has been reviewed then the claim will be approved or denied based on the information provided. TNS will then call or e-mail the claims decision. If the claim has been approved TNS will then issue an authorization code that must be written legibly on the invoice.


All fields are required.
Damage Information
Technician's Name:
Name of tire repair facility:
Phone number of tire repair facility:
What is the tread depth of the damaged tire?
What is the technician's opinion of what happened to the tire?
Is the wheel damaged more than cosmetically? Yes No
What is the brand and size of the damages tire and/or wheel?
What is the brand and size of the new tire and/or wheel?
What is the unit price of the tire and, if applicable, unit price of the wheel? Tire:
Wheel:
What is the total amount of the claim?
With just a reseating and remounting, will the tire and wheel hold air? Yes No
Is the tire and wheel a safety concern if the work is not performed? Yes No

Customer Information
First Name:
Last Name:
Address:
City:
State:
Zip
Telephone:
Vehicle Information
Make:
Model:
Year:
Vehicle Identification Number (VIN):
Contract Identification #:
Located on the bottom right corner of your contract.

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