Miles Submission Form (Options accounts only)

****For updating Drive Rebates only – not for rebate redemption****

Please complete this form and return this to us at the address below, together with a copy of the itemized automotive service receipt, describing the services performed on your eligible vehicle. You must return this form to us within 90 days of the date of service. Please note that any document you submit cannot be returned.
About the primary cardmember*:
Name
Address
City
State
Zip
Email Address(optional)†††
†††If you provide an email address, we may use it to contact you about your account. We may also use your email address to send you information about products and services you might find useful.
Citi Driver's Edge Account Number
About your vehicle service
Describe type of vehicle service
Date(s) of Service
Service provider name
Service provider phone number
Odometer reading (as documented in itemized receipt
Vehicle Identification Number
(VIN)°
I certify that the service described above was performed on my vehicle.
Primary Cardmember Signature
Date


Mail completed form and copy of your receipt within 90 days to:
Citi Driver's Edge Redemption Center
PO BOX 142319
Irving, TX 75014-2319

*Citibank reserves the right to request additional information prior to processing.
° VIN must be valid for request to be processed.
 
 
 

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Drive Rebates is a service mark of Citicorp