Vehicle Release

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"*" indicates required fields

Authorization To Release Vehicle

Name*
First Last

Date of Release*
MM slash DD slash YYYY

Phone Number*

Year*

Make*

Model*

VIN*

I authorize Weil Wrecker Service to release the above listed vehicle to:

Name / Company*

Phone Number*

I Authorize the release of the contents of my vehicle to the above listed party*

Yes

No

Owner's Signature*

Date*
MM slash DD slash YYYY

*This Authorization to Release Vehicle is valid for Thirty (30) Days after signed date

Photo ID*
Max. file size: 32 MB.

Proof of Ownership*
Max. file size: 32 MB.

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Vehicle Release

Authorization To Release Vehicle

24 hours / 7 days a week