Vehicle Authorization

I certify that I am the legal owner of the below listed motor vehicle presently stored by McGann and Chester Towing LLC, and thus authorize the personnel of McGann and Chester LLC to release said vehicle to the following person and or insurance company or their agents.

Registered Owner Information

Registered or owner

Name *

Phone *

Registered Owner’s Email Address *

Registered Owner’s Address *

Address Line 1

City

State *AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Vehicle Information

Year *

Make *

Model *

Vin *

License Plate *

Authorization

I authorize the following person or company:

Name or Company *

Phone Number *

Insurance Company, if applicable *

Check all that apply:

• Take possession of the vehicle
• Retrieve any/all personal property from the vehicle

Required Document Uploads

Please upload both of the following:

1. Valid Driver’s License or Government-Issued Photo ID *

Drag & Drop Files, Choose Files to Upload

2. Proof of Ownership *

Drag & Drop Files, Choose Files to Upload

Upload one of the following: Current insurance card, Vehicle registration, or Vehicle title

Authorization Acknowledgment

I certify that I am the registered owner *

• I certify that I am the registered owner of the vehicle listed above, or that I am legally authorized to act on the registered owner’s behalf. I authorize McGann & Chester to release the vehicle and/or permit retrieval of personal property, as selected above, to the person or company named on this form.

Submit

I certify that I am the legal owner of the below listed motor vehicle presently stored by McGann and Chester Towing LLC, and thus authorize the personnel of McGann and Chester LLC to release said vehicle to the following person and or insurance company or their agents.

Registered Owner Information

Name *

Phone *

Registered Owner’s Email Address *

Registered Owner’s Address *

Address Line 1

City

State *AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Vehicle Information

Year *

Make *

Model *

Vin *

License Plate *

Authorization

I authorize the following person or company:

Name or Company *

Phone Number *

Insurance Company, if applicable *

Check all that apply:

• Take possession of the vehicle
• Retrieve any/all personal property from the vehicle

Required Document Uploads

Please upload both of the following:

Driver’s Check Government-Issued

1. Valid Driver’s License or Government-Issued Photo ID *

Drag & Drop Files, Choose Files to Upload

2. Proof of Ownership *

Drag & Drop Files, Choose Files to Upload

Upload one of the following: Current insurance card, Vehicle registration, or Vehicle title

Authorization Acknowledgment

I certify that I am the registered owner *

• I certify that I am the registered owner of the vehicle listed above, or that I am legally authorized to act on the registered owner’s behalf. I authorize McGann & Chester to release the vehicle and/or permit retrieval of personal property, as selected above, to the person or company named on this form.

Submit