PATROL APPLICATION

Retriever Towing

* Property Name

* Days of Patrol:

Week days

7 days a week

Weekends

Specific days:

* Times:

24 hours

Specific Time:

Identification Method for Vehicles to be removed:

* Permits

Please not location of permits on vehicle

List vehicle descriptions and license numbers that are "do not tow."

None

you must have at least one item

Make and Model

Color:

Plate #

Make and Model

Color:

Plate #

Make and Model

Color:

Plate #

Make and Model

Color:

Plate #

Any Special Instructions?

In order for this form to be valid it must have a signed Private Property Authorization Agreement on file.

* Indicates Response Required

Apartment Tenant Parking	Vacant Lot	Business Tenant Parking
Customer Parking	Other

Fire Lane	Vehicle without parking permit	Anything not in a definded parking space
"No Parking" areas	In front of dumpster	Inoperable vehicle
Expired license plates	Loading Zone or Dock	Other