Vehicle Authorization - OKC Marketing

Arrow Wrecker Vehicle Authorization Release Form

This is to authorize the release of my vehicle to:

My insurance company Copart (2829 SE 15th Street, OKC) IAA (7300 N I-35 Service Road, OKC) Other

IF RELEASE IS TO MY INSURANCE COMPANY, LIST THE COMPANY NAME AND POLICY OR CLAIM NUMBER:

IF RELEASE IS TO OTHER, LIST IT HERE:

VEHICLE YEAR:

MAKE

MODEL:

VIN

OWNER'S SIGNATURE (INITIAL HERE):

OWNER'S NAME:

ADDRESS:

CITY, STATE, ZIP:

PHONE

DRIVER’S LICENSE OR STATE ID FRONT:

INSURANCE CARD OR VEHICLE TITLE:

TITLE OR REGISTRATION