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(E.T.S) Express Towing Service Corp.

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(E.T.S) Express Towing Service Corp.

Tow Operator Certificate: TO- 184-411-171
Main Office/ Storage facility Address: 5803 Mitch Owens Rd, Ottawa On, K1X 1C3
Phone: 613-227-1111
Email: Express.ottawatowing@gmail.com
Website: [expresstowingservice.ca](https://expresstowingservice.ca/)
Maximum Tow Rate Schedule MTO- Link
https://www.clientinformation.mto.gov.on.ca/tssea/view-rates/TO/184411171

Customer Email: *

Consent To Tow/Store Authorization Form

Date: *

Tow Operators Name

Customer Information

First Name: *

Last Name: *

Phone/Contact Number: *

Vehicle Information

Vehicle Year: *

Vehicle Make:

Vehicle Model: *

Vehicle Color:

Vehicle Plate #: *

Vehicle VIN: *

Fee Schedule

Consumer Rights

Maximum Tow Rate Fee Schedule https://www.clientinformation.mto.gov.on.ca/tssea/view-rates/TO/184411171

Consent To Tow/Store

DISCLAIMER: By typing your name below, you are signing this form electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this form. You acknowledge that his form now serves as a legally binding document.

Name of Person Giving Consent To Tow *

Name of Person Giving Consent To Store Fill If the vehicle will be stored at our storage facility

If vehicle towed for Collision purposes

please fill in the following sections below if you were involved in and accident/collision

Insurance Company

Policy Number

Are you the registered owner of the vehicle or secondary driver? *

(RO) Registered Owner

Secondary Driver

Pick up/ Location of Loss
*

Drop Off *
Collisions going to alternate locations(e.g Bodyshop/home)

Location of Storage Facility Drop Off

Collision Reporting Centre

Report Done On Scene

Vehicle needs to be Taken to CRC Following day

Aleady Completed

Highway Pickup

Disclaimers

NOTE: LIABILITY WAIVER SIGNING OF THIS FORM YOU*
ACKNOWLEDGE AND CONSENT THAT WE WILL NOT BE
RESPONSIBLE \ LIABLE FOR ANY DAMAGES SUSTAINED TO YOUR
VEHICLE WHILE UNDER TOW BY OUR TRUCK & DRIVER

TERMS: FOLLOWING DAY CRC WILL BE
SUBJECT TO OUR MAXIMUM TOW RATE
SCHEDUALE AND CHARGED AS A
SECOND HOOKUP

I have Read and Accept all terms *
This Consent To Tow Form signed stands legally binding and confirms use of services provided by E.T.S Corp.

YES

NO

E-Signature *

Clear

(E.T.S) Express Towing Service Corp.

Click Submit to finish.