Forms

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Hold Harmless

ADOT Power of Attorney

Fill this form out to appoint an Attorney-In-Fact for your vehicle. You must upload a copy of your ID to verify your identity. Fraudulent submission of this form is a punishable offense and will be prosecuted.

Recovery Waiver

Upon signing this document I am freely admitting that I have the legal right to authorize Tri-City Towing Inc. to recover and tow my vehicle. I also agree and understand that circumstances outside Tri-City Towing Inc.'s control, with regard to the accident involving my vehicle, may make recovery and removal of my vehicle unusually difficult. And I unconditionally release, waive and discharge my right, whether by contract or under operation of law to file cause of action(s) or claim(s) which I may have against Tri-City Towing Inc. now or in the future. I hereby assume any and all risk of loss, liability, damage or costs, and understand that any and all damages that may occur will be as a result of the accident not as a result of any negligence on the part of Tri-City Towing Inc. I fully understand the terms set forth in this form, and I hereby waive my rights freely and voluntarily without any inducement, assurance, or guarantee being made to me to the fullest extent allowed by law.

Damage Claim Form

Any person who knowingly presents a false or fraudulent claim for payment of a loss is subject to criminal and civil penalties and will be prosecuted. Please allow 10-14 days to process your claim.

Vehicle Owner *

First

Last

Layout

Email *

Phone *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Date of Service *

Vehicle Information

Vehicle Year *

Vehicle Make *

Vehicle Model *

Vehicle VIN *

Description of Damage/Loss *

Estimated Amount of Damage/Loss

Pictures of Damage/Loss

Click or drag a file to this area to upload.

Signature *

Date *