E-Release


If your vehicle was involved in an accident and you would like to release the vehicle to your insurance company, you can do so electronically. Please note: Not all vehicles are eligible for electronic release. Some police departments require an “in-person” ink signature. A vehicle will be released only at the request of the legally registered owner.

 

PLEASE FILL OUT THE FOLLOWING FORM TO RELEASE VEHICLE TO THE INSURANCE COMPANY

 

NOTE: A copy of an upload of a valid photo ID (driver’s license, state ID, passport, military ID) will be required in all cases without exception.

*Indicates a required field.

*Date:

*Legally Registered Vehicle Owner’s Name:

*E-Mail Address: (this field is very important please dont leave it blank)

*Street Address:

*City:

*State:

*Zip:

*Phone:

*Vehicle Year:

*Vehicle Make:

*Vehicle Model:

*Vehicle Color:

*VIN # (17 Digits):                  

*Insurance Company:

*Policy Number:

*Driver’s License #:

*Photo Identification:
File must be in JPG format ONLY

sample

SIGN VEHICLE RELEASE TO INSURANCE

I am authorizing the release of:

  Vehicle and Contents
  Contents Only
  Others (See notes below)

Notes:

Release Vehicle and/or Contents To:
(Include Insurance Company Name and Their Authorized Towing Company)

By typing my electronic signature below and uploading my photo identification, I, the undersigned, do hereby certify that I legally own the above stated vehicle and am legally authorized and entitled to take possession of this vehicle. I do hereby relieve and guarantee to protect Classic Towing against loss or liability by reason of delivering vehicle to me or releasing my vehicle to my stated agent or insurance company and their authorized towing company. I agree with the damage report and understand any damage assessment is only a fast cursory inspection and is not an all-inclusive report. Furthermore, I agree to defend, indemnify and hold harmless Classic Towing, Classic Towing’s employees, shareholders, and corporate officers from any suits, claims, or actions brought, or damages or other liability sustained or arising from the completion of the towing and recovery transaction and subsequent release of my vehicle.

Signature

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