Fillable Printable Registered Tow Truck Operator Impounded Vehicle Hearing Request
Fillable Printable Registered Tow Truck Operator Impounded Vehicle Hearing Request
Registered Tow Truck Operator Impounded Vehicle Hearing Request
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Towing firm use only
The owner of this vehicle redeemed/attempted to redeem it on: at a.m. p.m.
Date Time
Authorized agent signature
Registered Tow Truck Operator
Impounded Vehicle Hearing Request
When completed, file this request with the district/municipal court in the county where the vehicle was impounded.
This request must be received by the court within 10 days of the date that the vehicle was redeemed or attempted
to be redeemed. A filing fee will be required by the court in accordance with RCW 46.55.120 (2)(B).
License number State Vehicle Identification Number (VIN) Make Model Year
To:The clerk of district/municipal court
Address
Please take notice that the undersigned person or persons requests a hearing to contest the validity of the impoundment
and/or the amount of towing and storage charges with respect to the impoundment of the vehicle described above.This
request is pursuant to the provisions of RCW 46.55 and WAC 308-61.
This request is to contest the:validity of the impound amount of towing and storage charges
Where was vehicle impounded? Date of impound
Street address
City/Town ZIP code
Property type vehicle was impounded on
Private property Public property
Person/Agency authorizing impound
Name
Agency officer
Address
Registered owner of the vehicle
Name
Address
Legal owner of the vehicle
Name
Address
Towing firm information
Name (Area code) Business telephone
Address
Party requesting hearing
Name
Address
(Area code) Telephone number Signature
DLR-430-508 (R/4/13)WA
Click here to START or CLEAR, then hit the TAB button
When you have completed this form, please print it out and sign here.
