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Cottonwood Heights Police Department Towing Services Rotation Policy - page 11 / 13

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COMPANY INFORMATION

Application Date ___________________________________________ Business Name _________________________________________________________________ Business Address _______________________________________________________________ Mailing Address ________________________________________________________________ E-Mail Address_________________________________________________________________

Business

Phone

Day

___________________

Night

__________________

Cell

_____________

Radio Dispatched

Yes

  • No

Fax #

____________________

Auto

Manual

Business Ownership

Proprietorship Corporation

Partnership Limited liability company

Business Owner(s) Name __________________________________________

DOB

________________________

Address ______________________________________________________________________ Phone __________________________________________ N a m e _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ D O B _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Address ______________________________________________________________________ Phone __________________________________________ _ _ _ N a m e _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ D O B _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Address ______________________________________________________________________ Phone __________________________________________ _ _ _ _ _ _ N a m e _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ D O B _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Address ______________________________________________________________________ _ _ _ _ _ _ _ _ _

Phone

__________________________________________

TOW TRUCK OPERATORS (Agreement Article 2)

NOTICE OF CONFIDENTIALITY: The contents of all Cottonwood Heights Police Department Policies & Procedures are confidential and for CHPD use only. The contents shall not be viewed by, or distributed by any method to, anyone outside the CHPD unless prior approval is given by the CHPD Chief of Police.

Towing Services

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