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All Nations Auto Collision
Vehicle Release Form
Complete the release authorization online before your vehicle is picked up.
Vehicle Release Form
Unit 2&3, Rutherford Rd S, Brampton, ON L6W 3J6 • (905) 874-9666
Owner & Vehicle Information
Owner of Vehicle
Year
Make
Model
VIN #
Authorization to Release Vehicle
Give authorization to pick up my above mentioned vehicle.
If giving insurance company authorization to pick up vehicle, I am also authorizing insurance company's authorized agent.
I authorize the release of the above-mentioned vehicle to the person or authorized insurance representative picking it up.
Owner Signature
Signature
CLEAR SIGNATURE
Printed Owner Name
Date
Notary
Notary / Notes
Date
PRINT / SAVE PDF
CLEAR FORM
SUBMIT RELEASE
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