Vehicle
Description
For
example: Ford, Toyota, Chevrolet,
Cadillac.
Vehicle
Manufacturer:
For
example: Camaro, Cutlass, Camry, Grand
Am .
Vehicle
Model Name:
Vehicle
Color
Vehicle
Year
Vehicle
Color & Year:
License
Plate Number. If plate is missing
write "none"
License
State,
if none enter 'XX'.
License
Plate & State:
Inspection
Sticker Expiry
Inspection
State
Inspection
Sticker Info:
Enter
the vehicle's VIN number if known.
Vehicle
Identification
Number (VIN):
General
Condition
:
Appears Driveable
Appears Broken Down / Disabled
Appears Involved in Accident
Shell Only - It's a piece of junk!
Please
tell us more about the vehicle:
Please select
a body style from the diagrams below
that most closely matches the abandoned
vehicle. This information helps us
find the vehicle and arrange the best
means for it's removal.
You
must select a body style.
Please
tell us about any missing or damaged
parts on the vehicle:
Note the
vehicle's damaged or missing parts.
Check as many boxes as necessary.
You must select at least one item
from this list.
You
must select one or more missing or
damaged parts.
Use
this area to describe the vehicle's
condition further. For example, how
long the vehicle has been there and
any hazards that it poses.
Additional
Description:
Vehicle
Location
The address
must be entered correctly for the
query to be processed and sent to
the correct district. Incorrect, misspelled
or incomplete data will return a negative
response and cannot be processed.
Select
your district from the pull-down list.
If you do not know your district,
view
the district map and find the
district that covers your address.
Patrol
District:
select
from list
1st District
2nd District
3rd District
4th District
5th District
6th District
7th District
8th District
9th District
12th District
14th District
15th District
16th District
17th District
18th District
19th District
22nd District
23rd District
24th District
25th District
26th District
35th District
39th District
92nd District
Center City
District
Enter
the numerical address number in this
space.
Street Number:
Select
the street direction here.
If there is no direction, select "NA".
Street Direction:
select
from list
Not Applicable
N
S
E
W
Enter
the street name only here.
For example: enter "Roosevelt"
(without the quotes) if you live on
Roosevelt Boulevard. DO NOT enter
the street type.
Street Name:
Select
the street type from the list provided.
If the street type isn't on the list,
please contact
the webmaster so the form can
be updated.
Street Type:
you
must select one
Alley
Avenue
Boulevard
Court
Circle
Drive
Expressway
Highway
Lane
Parkway
Pike
Place
Plaza
Road
Run
Square
Street
Terrace
Trail
Way
Approximately
how long has this auto been there?
How
Long?:
Your
Information
This area is completely optional.
You do not have to provide this information
to us. It will only be used if we
need to contact you for additional
information and will be kept strictly
confidential.
Your Name:
Your Street Address:
(no P.O. Boxes)
Apartment Number:
City & State:
Zip Code:
Daytime Phone Number:
May we call you?
Yes
No
Your E-mail :
Additional
Comments:
When
you click "Submit" the information
you provided will automatically be
routed to the police district or unit
you selected on the form.
Important Disclaimer:
Communications made through this electronic
mail and message system shall in no
way be deemed to constitute legal
notice to the City of Philadelphia,
the Philadelphia Police Department
or any of its agencies, officers,
employees, agents, or representatives,
with respect to any existing or potential
claim or cause of action against the
City or any of its agencies, officers,
employees, agents, or representatives,
where notice to the city is required
by any federal, state or local laws,
rules or regulations.