Verified Technologies for SmartWay and Clean Diesel

Contact Information for SmartWay verification of Low Rolling Resistance (LRR) Tires and Retread Technologies for Tractors or Trailers

Important Notes
		Tire manufacturers, importers, or private label marketers may apply for verification.
Submitting this form does NOT guarantee verification.
Each company only needs to submit this form ONCE.

Provide contact information for the SmartWay verification process.

If you have questions or need help filling out this form, please email Tech_Center@epa.gov.

1. Information for Primary Contact

Name (Required)

Office Phone Number (Required)

Mobile Phone Number

Email Address (Required)

2. Information for Secondary Contact (Optional)

Is there a secondary contact that you would like to add? (Required)

Yes

Name

Office Phone Number

Mobile Phone Number

Email Address

3. Company Information

Name (Required)

Mailing Address (Required)

Country (Required)

Address 1 (Required)

Address 2

Postal code (Required)

City (Required)

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