Free Junk Car Removal

5200 Bonanza Auto Road, Shingle Springs, Ca 95682 Phone (530) 677-8239 Hours: Monday-Friday 8am to 5pm / Saturaday 9am-2pm / Sunday: by Appt only

Please fill out this form to have a junk car removed from your property

Vehicle Tow/Release Authorization Agreement

Free Junk Car Removal

Full Name(*)

Please type your full name.

I am granting Blue Streak Towing permission to remove/tow away the following vehicle listed below

Make of Vehicle(*)

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Year of Vehicle(*)

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Model of Vehicle(*)

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Color of Vehicle(*)

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VIN Number(*)

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License Plate(*)

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State(*)

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E-mail(*)

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Phone Number

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The Vehicle is being towed from the following address

Street Address

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City

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I am the owner or property manager of the property listed above and authorize Blue Streak Towing to tow said vehicle away to their tow yard.

Name:____________________________________ Drivers Lic & State: _______________________________________ Date: _____________________________

Drivers Signature:________________________________ Date:____________________ Time:___________________________

TITLE YES OR NO TYPE OF PAPERWORK:________________________________

REPORTED TO (circle one) EDSO / PVPD / Fol PD / CHP

DATYE:____________________________________ TIME:_________________________ BADGE:_________________________________

GET COPY OR PIC OF ID/CDL