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2. TOWING COMPANY INFORMATION
   Please fill out completely with regard to the tow, and releasing the vehicle.
3. 
5. SECURITY QUESTION*
   For security purposes, please enter the password provided to all towing companies by the Newport News Police which verifies authenticity. If the correct information is not entered, personnel will not complete the release.
7. Type of Tow:*

   1. Private Property

   1. Repossession

   1. Police Tow
9. Towing Company:*
   Name of towing company.
10. Caller:*
    Name of caller from company.
12. Address of Towing Company:*
13. Phone #:*
    Towing Company Phone #
15. RELEASE INFORMATION
17. Original Date and Time of Tow:*
    Original Date and Time of Tow:

    Original Date and Time of Tow:
18. Release Date and Time:*
    Release Date and Time:

    Release Date and Time:
    Date and time the vehicle was released.
20. Released To:

    Who was vehicle released to?

    1. Registered Owner

    1. Lien Holder

    1. Different Tow Company

    1. Other
22. VEHICLE INFORMATION
24. License Plate State:*
25. Tag #:*

    If the tag number is not known, you must explain why. (NN Code §26-17.5)

26. Expiration Year:
28. Vehicle Identification Number (VIN):*

    If the vehicle's VIN # is not known, you must explain why. (NN Code §26-17.5).

30. Vehicle Year:*
31. Vehicle Make:*
32. Vehicle Model:*
34. Style/Doors:
35. Vehicle Color:*
37. Miscellaneous:
    Use this field to give any miscellaneous information regarding the vehicle.
41. NEXT SECTION TO BE COMPLETED BY NNPD ONLY
43. NNPD Employees:
    This section is only for official use. You will indicate your name, your computer #, the date of receipt, and the time received. When the information is entered into VCIN, if a different individual enters the information, note your name and computer#, the VCIN-VIC# and the date and time entered.
45. NNPD Received By:
46. Comp. #:
48. Date Information Received:
49. Time Received:
51. VCIN Entered By - Same As Above

    1. Same as Above
52. VCIN Entry Made By:
53. Comp. #:
55. VCIN-VIC#
56. Entry Date & Time:
Leave This Blank:


60. 1. Receive an email copy of this form.
61. Email address

    This field is not part of the form submission.

62. Submit Submit and Print

* indicates a required field