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New Test Request Form

* Indicates required questions

Company Name *

Internal Part Number *

OEM

OEM Part Number *

Name *


First	Last

Phone # *

Email *

Wheel Information

Wheel Specs *

Wheel Diameter (in)	Wheel Width (in)	Wheel Offset (mm)

# of Lug Holes *

Bolt Circle Diameter (mm)

Stud Size *

Part #

Lug Nut Size *

Part #

Lot # or Wheel ID *

Radial Fatigue Test Desired? Yes No

Test Specification

Test Load (N)

Lug Torque (Nm)

Number of Wheels to be Tested

Inspections

Inspection 1	Inspection 2	Inspection 3	Inspection 4	Final Inspection

Tire Type (P/LT)

Tire Width (mm)

Aspect Ratio

Tires Supplied by ITS? (Y/N)

Test Pressure (PSI) Cold

Special Instructions

Rotary Fatigue Test Desired? Yes No

Test Specification

Test Load (Nm)

Lug Torque (Nm)

Number of Wheels to be Tested

Inspections

Inspection 1	Inspection 2	Inspection 3	Inspection 4	Final Inspection

Special Instructions

Impact Test Desired? Yes No

Test Specification
Test Load (Nm)
Lug Torque (Nm)
Number of Wheels to be Tested
Drop Height (mm)
Tire Type (P/LT)
Tire Width (mm)	Aspect Ratio
Tires Supplied by ITS? (Y/N)
Test Pressure (PSI) Cold
Special Instructions

Fastener Test Desired? Yes No

Number of Wheels to be Tested
Test Specification
Special Instructions

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Independent Test Services specializes in wheel testing services for automotive wheel testing, van wheel testing, and motorcycle wheel testing.
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