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ALCOA WHEEL PRODUCTS EUROPE
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Wheel Return Form
Alcoa Fleet Service Center
When filling in this form for a fleet, please also provide us with the fleet contact information. Inquiries without fleet information will not be dealt with. Fields with * are mandatory.
Remark 1: In case a Dura-Bright® wheel shows an air loss and/or hairline cracks please select from the performance related conditions.
Remark 2: After filling in the wheel return form, you will receive a confirmation e-mail from us within 1 working day and an e-mail from UPS within 5 working days in case your request is approved. If you don’t receive this, your security settings (SPAM filtering) might block e-mails from Alcoa and UPS. In this case we kindly ask you to check other folders than your inbox such as your deleted items, junk, bulk or unknown e-mails. If you still cannot trace the emails, please contact your IT department or provider.
Contact Information Fleet
*Company name fleet
Company address fleet
*Address line 1
Address line 2
Address line 3
*Zip code
*City
*Country
[Select a Country]
Austria
Belgium
Denmark
Finland
France
Germany
Ireland
Italy
Luxemburg
Netherlands
Norway
Portugal
Spain
Sweden
Switzerland
UK
*Mr/Mrs/Ms
[Select an Option]
Mrs.
Mr.
Ms.
*First Name
*Last Name
Department
*E-mail address
*Phone number
Collection and delivery address
*Same as contact information fleet ?
[Yes/No]
Yes
No
*Company name
Company address
*Address line 1
Address line 2
Address line 3
*Zip code
*City
*Country
[Select a Country]
Austria
Belgium
Denmark
Finland
France
Germany
Ireland
Italy
Luxemburg
Netherlands
Norway
Portugal
Spain
Sweden
Switzerland
UK
*Mr/Mrs/Ms
[Select an Option]
Mrs.
Mr.
Ms.
*First Name
*Last Name
*E-mail address
*Phone number
Activity
[Select an Activity]
Alcoa Distributor
Bus & Coach Dealer
Bus & Coach OEM
Other
Tire Dealer
Tire OEM
Trailer Dealer
Trailer OEM
Truck Dealer
Truck OEM
Number of trucks
Number of trailers
Activity segments
[Select a Segment]
City Bus
Coach
Construction
Container Chassis
General Cargo
Intercity Bus
Other
Reefers
Solid Bulk
Tanker
Wheel Information
In case a Dura-Bright® wheel shows air loss and/or hairline cracks
please select from the performance related conditions.
*Area for examination
[Select an Area]
Performance related condition:
- Air loss drop center
- Air loss bead seat
- Air loss at valve or valve hole area
- Bolt hole to vent hole
- Bolt hole to bolt hole
- Vent hole to vent hole
Cosmetic condition
- Dura-Bright®
Other
*If other is selected, please type message
*PART NO
*Serial number (######/##)
*Roll stamp date (MMDDYY)
*Was wheel involved in accident?
[Yes/No]
Yes
No
Wheel Position
*Truck/Trailer
[Truck/Trailer]
Truck
Trailer
*Axle
[Select an Axle]
First axle
Second axle
Third axle
Fourth axle
*Left/Right
[Left/Right]
Left
Right
*Inside/Outside
[Inside/Outside]
Inside
Outside
Not applicable
Remark: after submitting this form, a confirmation email will be sent. In case your request contains Alcoa Dura-Bright® wheels (part number containing DB suffix), please reply to the confirmation email with pictures that support your request for return. Dura-Bright® requests without pictures cannot be dealt with.
Your request will be subject to the conditions of warranty and usage limitations as stipulated in the Alcoa Wheel Service Manual which is accessible
here
.
*Check the box to accept our privacy agreement
By submitting this claim form, I hereby consent to the transfer and storage of all personal data supplied above to Alcoa Finance & Services Belgium BVBA and its affiliates worldwide and their authorized third-party contractors or agents (Alcoa) and to the processing of such data for the purposes of: processing this claim, issuing information about Alcoa Products and Services through newsletters, mailings, phone calls, and electronic communications and mailings; and any other purpose which could further the business relationship I have with Alcoa and its Products and Services (Purpose). Alcoa shall use the information supplied solely for the Purpose and shall store the data for as long as is strictly necessary to be able to complete the Purpose. I confirm that I am fully informed of the reasons for processing and transfer of my personal data and I am aware of all my rights regarding such personal information and all applicable laws. If at any time hereafter I decide that I want to withdraw my consent given above I shall contact Alcoa to inform them of this decision. I also have the right to have any incorrect information which is stored by Alcoa rectified.
*Required