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Towing Service Complaint Form

  1. Please indicate the date and time of the incident.

  2. Please indicate the name of the responding towing service.

  3. Please provide an email address where you may be contacted.

  4. Please provide a telephone number where you may be contacted.

  5. Please provide detailed information regarding your complaint.

  6. Please upload copies of your billing receipts regarding this complaint for review.

  7. Leave This Blank:

  8. This field is not part of the form submission.