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Vehicle
Release
Authorization for Release of Impounded/Stored Vehicle
1. Vehicle Owner Information
First Name*
Last Name*
Phone Number*
Email Address*
Upload Owner's ID (Required)*
2. Vehicle Information
Year*
Make*
Model*
Color*
Tag Number
VIN Number
Upload Registration or Title
3. Release Authorization*
Insurance
Individual/3rd Party
Personal Items Only
Insurance Company*
Claim Number*
Authorized Individual Name*
4. Digital Signature*
I,
[Name]
, give permission to release my
[Year Make Model]
and/or personal items to the above
authorized party
.
Sign below to confirm authorization
Clear Signature
Submit Release Authorization