Abandoned Vehicle Release Form
Complete this form to request the release of an abandoned vehicle. Please provide accurate information for processing.
Full Name of Claimant/Releasor
*
First Name
Last Name
Phone Number of Claimant/Releasor
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address of Claimant/Releasor
*
example@example.com
Relationship to Vehicle
*
Registered Owner
Authorized Representative
Lienholder
Other
Vehicle Make
*
Vehicle Model
*
Vehicle Year
*
Vehicle Color
*
Please Select
Black
White
Silver
Blue
Red
Green
Other
Last 4 Digits of Vehicle Identification Number (VIN)
*
Storage or Towing Facility Name and Location
*
Release Acknowledgement: I confirm I am authorized to claim/release this vehicle and acknowledge receipt upon pickup.
*
Submit Release Request
Submit Release Request
Should be Empty: