TOW TICKET.pdf

USMS Standard Tow Ticket

Rev. 1/25/07

Contractor Driver's Name: Location of Pickup: Location of Delivery:

Date: Time: Date: Time:

Gov't Officer who ordered tow:

Vehicle Year: Make: Model: VIN # : Government asset ID # (CATS ID):

License Plate #: State of Registration: Odometer of Vehicle being transported:

Door

COMMENTS:______________________________________

D = Dent B = Broken S = Scratch

F = Flat M = Missing BE = Bent L = Loose

Ignition

Trunk Other Odometer Readings of tow truck/carrier:

Beginning of tow: End of tow: Total Mileage:

Glove Box Fuel Tank

Towing Rate: Operable?: Yes No

Keys:

Truck Cap Door

Make of Tires:

Model of Tires: District:

Vehicle Condition/Damage:

Good Fair Poor N/A Comments Good Fair Poor N/A Comments

Engine: Headlight assy:

Transmission: Taillight assy:

Radiator: Tach:

Battery: Speedometer:

Starter: Horn:

Frame: Turn signal Fr:

H Bar & Controls: Turn signal Rr:

Steering: Mirrors:

Paint: Radio:

Chrome: Fuel tank:

Ft. pegs/Fir. Pegs: Fr Fender:

Exhaust Sys: Rr Fender:

Seat: Fairing:

Brakes front: Windshield:

Brakes rear: Side Covers:

Front Rim: Saddle Bags:

Front Tire: Trunk:

Rear Rim: Fr Racks/Bars:

Rear Tire: Rr Racks/Bars:

Pull/Kick start:

Signature of agent releasing vehicle:

Date: