Tow Auth

Car Make & Model

Year

Color

License Plate

VIN#

Date

Time

First Name

Last Name

Street Address and Postal Code

City

Phone Number

Email Address

Reason for Tow

Pickup Address

Drop-Off Address

Call Number

Fees / Tow Type (select one)
Select Tow TypeStandard Collision TowFlatbed Collision TowNon Collision TowWinch/RecoveryUpright Overturned VehicleVehicle StorageRe-Tow From CRCSecond Vehicle To AssistPolice/ByLaw TowCommercial/Contract Tow

Wait Time at CRC

Mileage over 20 kms

Notes for Fees

Key #

Truck Operator Name

Customer Name

Date

Customer Signature (Type Your Name)