LITHIA ADDRESS REQUESTS

SUBMITTER INFORMATION

Full Name *

Email Address *

ADDRESS INFORMATION

Request Type *

Billing/Shipping *

Address Type *

Shipping Address must be a physical address. PO Boxes will not be accepted due to shipping requirements.

L# *

Dealership Name *

Division Name *

Street Address *

Address 2

City *

State *

Zip Code *

All submissions will be treated as an urgent request and completed as quickly as possible.
If this request requires an approval rule change (new or update), please also submit an Approver Update Request.