8. usm623 TOW TICKET.pdf
PDF 575 KB Posted
- Attached to
- AFD: Towing, Storage, Maintenance and Disposal of Seized and/or Forfeited Vehicles for the District of Guam
- Solicitation number
- 15M50025DA4400046
About this file
This document is a U.S. Department of Justice United States Marshals Service Asset Forfeiture Division Standard Tow Ticket (Form USM-623). The form is designed to document details of a vehicle tow, including comprehensive vehicle and condition information. It provides a structured template for recording vehicle specifics such as make, model, year, color, VIN, license plate number, and registration state, as well as detailed assessment of the vehicle's interior and exterior condition using specific identification codes for damage types like dents, scratches, missing parts, and rust. The form includes sections for transmission details, engine specifications, power features, steering, doors, seats, roof type, stereo, additional options, and wheel characteristics, allowing for a thorough documentation of the vehicle's condition at the time of towing.
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Other files
| File | Type | Posted |
|---|---|---|
| 4. Offeror Info Page.pdf | ||
| 9. Contractor Invoice.xlsx | XLSX spreadsheet | |
| 15M50025DA4400046.pdf | ||
| 1. SF1449 Continuation.pdf | ||
| 5. Statement of Work.pdf | ||
| 6. Pricing Schedule.xlsx | XLSX spreadsheet | |
| 7. usm624 STO Vehicles.pdf | ||
| 2. Additional Clauses.pdf | ||
| 3. Instructions to Offerors.pdf |
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Text version
Form USM-623 Rev. 11/14
Contractor Driver's Name: Gov't Officer Who Ordered Tow:
Date and Time of Pickup:Location of Pickup:
Date and Time of Delivery:Location of Delivery:
Asset ID # (CATS ID):District Office: Vehicle Year:
Color:Model (including XL, XLT, LS, etc.):Make:
License Plate #:VIN: Operable? Keys?Yes No Yes No
State of Registration:Model of Tires:Make of Tires:
Yes NoHidden Compartment? If yes, location:
Towing Rate:Current Vehicle Mileage:
End of Tow:Odometer readings of tow truck/carrier - Beginning of Tow: Total Miles:
INTERIOR CONDITION
Front Carpet
Rear Carpet
Front Seat
Rear Seat
Door Panels
Trunk
Headliner
StainedTornGood
Good StainedTorn
StainedTornGood
StainedTornGood
StainedTornGood
Dash
TRANSMISSION
ENGINE # of Cylinders:
POWER
STEERING
DOORS
SEATS
ROOF
STEREO
OPTIONS
WHEELS
4-Wheel DriveManualAutomatic
Diesel
CruiseTelescopicTiltPower A/C: Yes No
Hatchback432 Other:
Other:BrakesDoor LocksSeatsWindows
Other:
ClothVinylLeather3rd SeatBenchBucket
Convertible CanvasVinylPower SunroofT-TopHardtop
AM/FM Radio CD CD Changer Tape Player
Factory Stereo Brand: No Stereo Custom Stereo Other:
Navigation Heated Seats Alarm System TV DVD
Customized Rims
Custom WheelsFactory WheelsSpoke WheelsHubcaps
EXTERIOR CONDITION IDENTIFICATION CODES
D = Dented CR = Cracked S = Scratch FT = Flat Tire M = Missing BE = Bent L = Loose C = Cut PC = Paint Chip R = Rust DR = Damaged Rim B = Broken
U.S. Department of Justice United States Marshals Service Asset Forfeiture Division - Standard Tow Ticket
INSTRUCTIONS: This form is to be utilized by the contractor or District Office only when a vehicle is towed to the contractor facility. A copy of this form should be placed in the case file.
Comments/Additional Notes:
Yes NoSpecialty Rims? If yes, make and model:
Electric CNG
Form USM-623 Rev. 11/14 ..\VehicleDiagram.jpg Operable?
Keys?
Hidden Compartment?
INTERIOR CONDITION
Front Carpet
Rear Carpet
Front Seat
Rear Seat
Door Panels
Trunk
Headliner
Dash
TRANSMISSION
ENGINE # of Cylinders:
POWER
STEERING
DOORS
SEATS
ROOF
STEREO
OPTIONS
WHEELS
A/C:
EXTERIOR CONDITION IDENTIFICATION CODES
D = Dented CR = Cracked S = Scratch FT = Flat Tire M = Missing BE = Bent L = Loose C = Cut PC = Paint Chip R = Rust DR = Damaged Rim B = Broken U.S. Department of Justice United States Marshals Service Asset Forfeiture Division - Standard Tow Ticket INSTRUCTIONS: This form is to be utilized by the contractor or District Office only when a vehicle is towed to the contractor facility. A copy of this form should be placed in the case file.
Specialty Rims?
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