Costco Tire Center Member Fitment Refusal Documentation

Documents a supervisor or manager decision to refuse tire installation when a tire does not meet vehicle manufacturer fitment requirements under store safety policy.

Customer and Vehicle Information

• Member name
• Member number
  Optional unless needed to locate the service record. Do not collect more PII than necessary.
• Vehicle year
• Vehicle make
• Vehicle model
• License plate
  Optional if needed for service identification.
• Service date
• Service order number

Tire and Fitment Details

• Tire brand
• Tire model
• Tire size
  Enter the tire size exactly as marked on the sidewall.
• Load index / speed rating
• Fitment issue type
• Fitment issue details
  Describe the observable reason the tire does not meet fitment requirements.

Policy Basis and Decision

• Supervisor or manager name
• Decision maker role
• Decision
• Policy reference
  Reference the applicable store safety policy or manufacturer fitment requirement.
• Decision rationale
  Explain why the tire was refused or escalated. Keep the explanation factual and specific.
• Escalation needed?
• Escalation reason

Member Communication and Alternatives Offered

• Refusal explained to member
• Alternatives offered
• Alternative details
  Provide details only if an alternative was offered or discussed.
• Member response
• Member acknowledgment
  Optional signature if the member agrees to acknowledge the refusal documentation.

Submission Notes and Audit Trail

• Additional notes
  Use this field for brief factual notes only. Avoid sensitive personal data unless required for the service record.
• Supporting documentation
  Optional upload for tire sidewall photo, fitment reference, or related documentation.
• Recorded by
  Name or identifier of the associate completing the form for audit trail.