A Written Authorization to Tow Form

Section 1470.EXHIBIT A   Written Authorization to Tow Form 1) I, , am the owner or owner's agent (spouse, child, brother, sister, parent, attorney or court appointed legal representative ONLY may be considered to be owner's agent) of the following vehicle: 2) Make Model Year VIN # License Plate # (Include State) 3) My address is: Street City State Zip Code 4) This authorization is hereby given to of , to tow the vehicle described above. 5) I hereby state and affirm, under oath, that I am the duly authorized owner or owner's agent of the vehicle described above. Date: Signature: Instructions – Written Authorization to Tow Form All parts of this form must be legible, in ink or typewritten, and completely filled out. Line 1 – Fill in your complete name. Note that only certain persons may qualify as owner's agent. Line 2 – Give make, model and year of vehicle being towed. Also include VIN (Vehicle Identification Number) number and license plate number (including state). Line 3 – Provide your complete mailing address. Line 4 – Fill in full name of person towing the vehicle and complete mailing address. Line 5 – Sign in ink and date. Note that the permission you provide in this form is under oath. Special Note : Other State and local requirements concerning proof of ownership and identification of owner or owner's agent may have to be met before the vehicle may be released.