Trespass Towing Complaint Form

Fields with (*) are required.

Date of Trespass Towing Incident:
(Date format: mm.dd.yyyy) (*)

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Time of Trespass Towing Incident:
(i.e., 2:45PM) (*)

Please enter a valid time.
Location of Trespass Towing Incident: (*)

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Name of Towing Company: (*)

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Year of Towed Vehicle:
(i.e., 2004) (*)

Invalid Input
Make of Towed Vehicle:
(i.e., Ford, Nissan, etc.) (*)

Invalid Input
Model of Towed Vehicle:
(i.e., Neon, Camry, etc.) (*)

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Color of Towed Vehicle:
(i.e., red, green, etc.) (*)

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Tag of Towed Vehicle:
(i.e., abc1234)

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Details of Trespass Towing Complaint: (*)

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Your Name Prefix:
(Mr, Mrs, Ms, Dr, etc.):

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Your Name: (*)

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Your Address: (*)

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Your City: (*)

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Your State: (*)

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Your Zip Code: (*)

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Your Phone:
(i.e., 352-123-4567)

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Your Email: (*)

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Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.