Road Service Request

Mobile road technicians for air, electrical, tires, DEF and on-highway repairs.

If you wish to request an Emergency Service Ticket, please register your company. The form below stays locked until you do.

1 · Service Needed

Requester's Company Name

Your Name

Callback Number

Driver's Name

Driver's Phone Number

Truck/Trailer/ Or Other

Year / Make / Model

Break Down Location/Address

Street address or grid coordinates. If on a road that has exits, include mile marker, exit number, and direction of travel.

Concern/Failure Description

Select a payment type and enter the customer account number next to it. GoodYear often also needs a Location Code.

Optional. Add up to two pictures so dispatch can see the problem before a truck is sent.

Picture 1Tap to add a photo

Picture 2Tap to add a photo

Reference #

P.O. #