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Vehicle Towing Authorization Free Printable PDF Template

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VEHICLE TOWING AUTHORIZATION

Private Property Impound (PPI) Request & Liability Shield

FORM-TOW-03

Property Management Office

Date Issued: 6/25/2026

I. Property & Towing Agency Information

Property Name / Address *
Towing Company Name *
Towing Co. License / DOT Number *
Tow Truck Driver Name
Tow Truck License Plate / ID

II. Vehicle Identification & Condition

Vehicle Make *
Vehicle Model *
Color *
Year
License Plate Number *
State of Issue
VIN (Vehicle Identification Number) *
Odometer Mileage at Time of Hook-up *
Estimated Value / Condition (e.g., Junk, Drivable)

III. Reason for Towing (Statutory Authority)

Select Violation (Check all that apply) *
Parked in Fire Lane / Red Zone
Blocking Dumpster / Trash Access
Parked in Assigned/Reserved Space
No Valid Parking Permit / Pass
Expired Tags / Registration (>60 days)
Abandoned / Inoperable Vehicle
Blocking Traffic / Driveway / ADA Ramp
Parked in Handicap Space (No Placard)
Was a prior warning citation placed on the vehicle?
Yes (24-48 Hr Notice)
No — Immediate Tow Zone (Fire Lane/ADA)
Date Warning Was Issued (If applicable)
Time Warning Was Issued

IV. Photographic Evidence Checklist

Required Photos Taken Prior to Hook-up (Check all secured):
License Plate Visible
Vehicle in Context of Violation
No-Parking / Fire Lane Signage
Existing Body Damage (Front)
Existing Body Damage (Rear)
Existing Body Damage (Sides)

V. Authorization & Indemnification Signatures

Signatures *
AUTHORIZED PROPERTY AGENT
DATE
TOW OPERATOR ACKNOWLEDGMENT
DATE

LEGAL DISCLAIMER & INDEMNIFICATION: The undersigned property agent warrants they have the legal authority to request the removal of the above-identified vehicle from private property under state vehicle code. The towing agency assumes all liability for the safe removal, transport, and storage of the vehicle, and agrees to indemnify the property management company against any claims of wrongful towing, property damage, or theft. Photographic evidence of the violation and existing vehicle condition MUST be secured prior to moving the vehicle.

FORM-TOW-03 | Document Generated by NoticeMint

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⚖️ Why this form matters?

  • ✓ Insurance Ready: Includes crucial fields for policy numbers and estimated costs required by claims adjusters.
  • ✓ OSHA Aligned: Captures exact timestamps, witness info, and mitigation actions for compliance audits.
  • ✓ Legal Disclaimer: Built-in boilerplate to establish the document as a formal legal record.