Online Form

Please read the form instructions prior to use

lease include all required data and as much additional information as you can in the form below. Incomplete or inaccurate forms will delay processing of this complaint and may compromise our ability to quickly remove this automobile.

Indicates that this field must be completed for the form to be processed.

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. 4-Door Sedan 2-Door Coupe Hatchback Convertible   Station Wagon Sport Utility Van Pickup Truck         If the vehicle type is not represented here, check 'Other' and enter the type of vehicle in the space provided. Other Type   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. Front Bumper Hood Right Front Fender Right-Front Door Right-Rear Door Right-Rear Qtr Panel Rear Bumper Trunk Lid Left-Rear Qtr Panel Left-Rear Door Left-Front Door Left-Front Fender Motor / Engine Transmission Window Glass Radio Interior Components Tires Steering Column None Other (Describe Below)       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.