NV Residential Complex Impound Authorization Form

NV Residential Complex Impound Authorization
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
Vehicle Tagging Status*
- Tagging Completed
- Tagging Not Required
Exemptions To Tagging Are:
- vehicle Is A Health, Safety, Or Welfare Concern
- vehicle Parked In A Fire Lane, Blocking A Fire Hydrant
- vehicle Parked In A Handicapped Space Without Placard Displayed
- vehicle Is Blocking/interfering The Entrance Or Exit To The Property
- vehicle Has 3 Or More Property Violations In The Last 3 Months
- vehicle Was Previously Tagged For The Same Or Similar Reason
- tenant Authorized Or Marked Parking Space Violation
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.