Release and Hold Harmless Agreement

This field is for validation purposes and should be left unchanged.

Fill out this form to release your vehicle from Elite Towing to your authorized party.

Vehicle Year(Required)

Vehicle Make(Required)

example: Toyota

Vehicle Model(Required)

example: Corolla

Vehicle License Plate / Tag(Required)

Vehicle ID Number (VIN)(Required)

List of damages which occurred during towing, if any:

Name(Required)

First Last

Address(Required)

Street Address City State ZIP / Postal Code

Phone(Required)

Photo of Driver's License(Required)

Max. file size: 6 MB.

I release the above vehicle to:

Name of insurance, salvage, or towing company, etc.(Required)

Personal items retrieved:

Today's Date(Required)

Signature(Required)