Vehicle Release Authorization "*" indicates required fields Name* PhoneEmail I verify that I am the registered owner of aMake* Model* Color VIN # Company Name (If applicable) Select one:Select one* I authorize the release of my vehicle to an insurance company for pickup I authorize the release of my vehicle to the following If releasing to an individual, please complete the following. The individual picking up the vehicle must show a government issued photo I.D. at the time of pick up.Full name on their driver's license License Number Driver's License State Expiration COPY OF VEHICLE RELEASE (IF APPLICABLE)Max. file size: 10 MB.Section BreakUPLOAD A COPY OF REGISTERED OWNER'S LICENSE *Max. file size: 10 MB.UPLOAD A COPY OF INDIVIDUAL AUTHORIZED TO PICK UP MY VEHICLEMax. file size: 10 MB.Disclaimer: I hereby state that I am legally entitled to the above described vehicle and its contents and assume all responsibility for the same. Central Iowa Towing and Recovery will not assume any liability for a vehicle prior to their physical possession or after their release of the vehicle. Some vehicles require a release from the agency who impounded it. Please verify the vehicle hold has been released or you have a copy of the release before coming to pick up the vehicle. By clicking submit I verify I have read and understand this statement.CAPTCHACommentsThis field is for validation purposes and should be left unchanged.
