Form DLR-430-503 "Unauthorized Vehicle Impoundment Report" - Washington

What Is Form DLR-430-503?

This is a legal form that was released by the Washington State Department of Licensing - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 1, 2014;
  • The latest edition provided by the Washington State Department of Licensing;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form DLR-430-503 by clicking the link below or browse more documents and templates provided by the Washington State Department of Licensing.

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Download Form DLR-430-503 "Unauthorized Vehicle Impoundment Report" - Washington

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Unauthorized Vehicle Impoundment Report
License number
State
Vehicle Identification Number (VIN)
Make
Model
Year
1. To be communicated orally immediately to the law enforcement agency having jurisdiction.
2. Send in writing within 24 hours of impoundment to law enforcement agency jurisdiction.
To:
This is notice that the undersigned towing firm impounded the vehicle described above at:
Street address
City/Town
Date of impoundment
Time of impoundment
Time of radio/telephone call to law enforcement agency having jurisdiction
a.m.
p.m.
a.m.
p.m.
Name of towing firm
Street address
City
State
ZIP code
Firm’s authorized agent
(Area code) Business phone number
(Area code) Fax number
DLR-430-503 (R/11/14)WA
Click here to START or CLEAR, then hit the TAB button
Unauthorized Vehicle Impoundment Report
License number
State
Vehicle Identification Number (VIN)
Make
Model
Year
1. To be communicated orally immediately to the law enforcement agency having jurisdiction.
2. Send in writing within 24 hours of impoundment to law enforcement agency jurisdiction.
To:
This is notice that the undersigned towing firm impounded the vehicle described above at:
Street address
City/Town
Date of impoundment
Time of impoundment
Time of radio/telephone call to law enforcement agency having jurisdiction
a.m.
p.m.
a.m.
p.m.
Name of towing firm
Street address
City
State
ZIP code
Firm’s authorized agent
(Area code) Business phone number
(Area code) Fax number
DLR-430-503 (R/11/14)WA