Towing Service Chapel Hill

Vehicle Release Form:

The undersigned individual, by completing this form, hereby authorizes Barnes Towing & Recovery to release said vehicle to the named insurance company. Fill out all information. Signature field must be filled in using the insured person's name. Filling in of signature field constitutes authorization.

I, the undersigned, am the owner of the vehicle below. By filling out this form, I am authorizing Barnes Towing & Recovery to release my vehicle to my insurance company.

Vehicle Information:

* Indicates required field

Year & Make Of Vehicle *

Insurance Information:

Insurance Company *

Policy# *

Insurance Claim# *

Model Of Vehicle *

Last 4 of VIN# *

Insurance Company Phone# *

Insured's Signature *

Date *

Submit

Barnes Auto & Towing, Inc.

Towing Service Chapel Hill

Vehicle Release Form: