Fillable Tow Truck Service Receipt Template printable pdf download

Tow Truck Service Receipt Template

Download a blank fillable Tow Truck Service Receipt Template in PDF format just by clicking the "DOWNLOAD PDF" button.

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Complete Tow Truck Service Receipt Template with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

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Tow Control No. ____________________

DATE: ____________

Tow Crane No. _____________________

TIME: ____________

Tow Truck Service Receipt

____________________________________________________________________

LICENSEE NAME

____________________________________________________________________

TRADE NAME

____________________________________________________________________

PRIMARY BUSINESS ADDRESS

____________________________________________________________________

BUSINESS PRIMARY TELEPHONE NUMBER

Storage facility/repair location__________________________________________ Telephone # (___) _______________

Name of Customer: ________________________________________________________________________________

Customer Address: _________________________________________________ Telephone # (___) _______________

Tow Pick up Location: _________________________________________________

_________________________

Street Location

City and State

Tow Delivery Location: _________________________________________________

_________________________

Street Location

City and State

Description of Disabled Vehicle

Color: ______________ Make: ____________Model ____________Year ________________Tag No.: ____________

State of Vehicle Registration: ___________________________ Vehicle towed to: ______________________________

Schedule of Towing Fees

Public Tow (whether accident or impound) $

Public Storage Service Fee: $

Private Tow

From Accident:

Minimum: $______________________

Maximum: $_______________________

Non-Accident:

Minimum: $______________________

Maximum: $_______________________

Total Towing Fees Due:

$________________________________

Daily Storage Fees:

Minimum: $______________________

*Maximum: $_______________________

(*Maximum rate per 24 hour period or part thereof, which period shall start when the vehicle enters the tow service storage lot to which the vehicle is

towed.)

OTHER CHARGES/DESCRIPTIONS: _________________________________________________________________

________________________________________________________________________________________________

Name of Tow Truck Operator: (Print)

Signature____________________________

Signature (Disabled Vehicle Operator): _________________________________________________________________

NOTE: Licensee must retain a copy of the receipt for a period of three years.