NV Commercial Impound Authorization – Milne Towing Services

NV Commercial Impound Authorization
This form is to be used for impounds located on all properties not classified as a Residential Complex. Milne Towing Services is hereby authorized and directed to remove, tow, and impound the vehicle listed below for a violation of this private property’s parking rules, regulations, and/or property rights.
Make*
Model*
License Plate Number*
Year
Color
State & Expiration*
Vehicle Identification Number (VIN)
Reason for Impound
Property Name*
Property Address*
Date
Phone Number*
Email*
Title*
Authorized Name Printed*
Signature*
Consent*
I Certify the Following: All information provided is true and correct. I am who I represent myself to be. I am authorized to make this impound request. The electronic signature provided may be used and treated as the legal equivalent of my manual/physical signature.
Time
*Asterisks denotes a required field. Information provided in this form is kept confidential in accordance with NAC 706.4275.