What is your relationship to the vehicle?
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Registered Owner
Authorized Person/Family Member
Insurance Company Representative
Law Enforcement
Lienholder/Bank Representative
Did the Registered Owner already submit this form?
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YES
NO
Your Full Name
First Name
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Last Name
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Phone Number
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License Plate or Last 6 of VIN
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First Name
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Last Name
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License Plate or Last 6 of VIN
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Street Address
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City
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State
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Country
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Postal Code
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Upload Your ID
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Insurance Company Name
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Your Full Name
First Name
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Last Name
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Contact Number
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License Plate or Last 6 of VIN (Insured)
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Claim #
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Law Enforcement Agency
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Phone Number
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Badge Number
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License Plate or Last 6 of VIN
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Is there anything you want noted in our system for this vehicle?
Lienholder Company Name
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First Name
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Last Name
Phone Number (LienHolder)
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Upload Hold Harmless Agreement
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Upload Copy of the Title
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Upload the Repo Order
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Registered Owner's Full Name
First Name
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Last Name
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Street Address
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City
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State
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Country
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Postal Code
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Phone
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Email
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Vehicle Year
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Vehicle Make
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Vehicle Model
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Vehicle Identification Number (VIN) or License Plate
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Will you be authorizing someone else to pick up the vehicle?
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YES
NO
Authorization Acknowledgement
Terms and Conditions
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I certify that I am the legal owner of the motor vehicle entered into this form and 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.
Authorized Person or Company
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I authorize this Person or Company to: (Check all that apply)
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Take possession of vehicle
Retrieve any/all personal property from vehicle
Authorized Person or Company's Phone Number
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Authorization Acknowledgment and Certification
Terms and Conditions
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I certify that I am the registered owner of the vehicle I entered into this form, 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.
Which of the following documents will you provide to prove ownership?
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Current Insurance Card
Vehicle Registration
Vehicle Title
Bill of Sale (Must show VIN)
Upload your Current Insurance Card
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Click to upload
A valid insurance card includes your name, the vehicle's information, and dates of coverage.
Upload your Vehicle Registration
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Click to upload
A valid registration shows your name, the vehicle's information, and current registration dates.
Upload your Vehicle Title
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Click to upload
A valid title document shows your name as the owner and the vehicle's VIN.
Bill of Sale (Must show VIN)
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Click to upload
Signature
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Clear
By signing below I certify that the information provided in this form is accurate and that I am authorized to make this request.
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