Byers Wrecker Service Vehicle Release Form

Please email a copy of your ID and registration to byerswrecker@live.com

Owner Name*
First Last
Phone Number*
Email*
Year*
Make*
Model*
VIN
Insurance Company
Claim #
Body Shop
Lien Holder
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Personal Property Removed?*
- Yes
- No
License Plate Removed?*
- Yes
- No
Consent*
Checking this box confirms that the information is accurate to the best of your knowledge and that you authorize Byers Wrecker Service to release your vehicle to your insurance company, body shop, or lien holder listed below and you release Byers Wrecker Service from any and all liability from your vehicle and its contents.*

For all your local towing, wrecker, and recovery needs, contact the professionals at Byers Wrecker Service.