Release Agreement

RELEASE AGREEMENT

I,
give,

permission to pick up my vehicle and or personal items on my behalf.

Vehicle Information

Vehicle Owner Contact Info

I am a willing participant in removal of vehicles from Stonewall Towing property.

By signing this agreement, I agree to release, indemnify, and hold harmless Stonewall Towing & Recovery, as well as all employees, agents, representatives, successors, etc. from all losses, claims, theft, demands, liabilities, causes of action, or expenses, known or unknown, arising out of impounding and removal of vehicles from Stonewall Towing & Recovery property.

Print Name
MM slash DD slash YYYY
Agent Name
MM slash DD slash YYYY
Upload Driver's License (jpg or pdf)
Drop files here or
Accepted file types: jpeg, jpg, pdf, heic, Max. file size: 2 MB, Max. files: 2.
    Please upload your proof of ownership of the vehicle. The only two forms we will accept are a CURRENT vehicle registration or a title. (Upload jpg or Pdf)
    Drop files here or
    Accepted file types: jpeg, jpg, pdf, heic, Max. file size: 2 MB, Max. files: 2.

      *The name on the registration or title must match the name on the ID provided.

      If you are releasing your personal items to another individual, that person must provide a valid government issued ID at the time of pick-up.

      Please Enter the Email Address to send your copy of the above form.