Motor Vehicle Worksheet

The undersigned is the legal and rightful owner of the below listed motor vehicle currently stored on the property of Roadside Rescue & Transport, Inc. I am aware and authorize my vehicle to continue to be stored at the facility during the insurance or legal process. As a courtesy, we will try to attempt to collect our fees from your insurance company. You will be responsible for any fees not covered by your insurance company. A daily storage fee of $35.00 per 24 hour period for Passenger Vehicles additional for Commercial Vehicles will continue to accrue until full payment is received and your vehicle is removed from our premises.

You have removed your personal belongings from your vehicle at the below date and time.

Roadside Rescue & Transport, Inc. appreciates your business. If you have any questions about your invoice, please call us at 781-444-1211. All involuntary towing charges are invoiced pursuant to 220 CMR 272.00. All other charges are invoiced in accordance with a private agreement made with the vehicle owner, an insurance company, or an authorized agent and are not subject to regulation. By signing below, releasing my vehicle from impound, or removing my vehicle from the impound lot, or accepting delivery of my vehicle I agree to pay all charges on the invoice in full. I further agree to release and hold harmless Roadside Rescue & Transport, Inc. of any and all liability arising out of the services rendered, including all claims or causes, past, present, or future arising from the delivery or mis-delivery of the motor vehicle and its contents.