RequestTracker Forms • Valdez, AK • CivicEngage

Vehicle Removal Release

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I release the below vehicle to the Valdez Police Department or their agent for removal from my property in conjunction with the City of Valdez’s Vehicle Abatement & Removal Program. Please provide as much information as possible. (Requestor Name)*
Year/Make of vehicle
Model
Color
License
VIN
Phone Number*
Email address:*
Location*
Date*
By typing your name in this field, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Agreement. *

* indicates required fields.