VEHICLE REPORT
Professor Ray Lewis
Administration of Justice
El Camino College
REPORTING DEPARTMENT
YEAR
MAKE
LOCATION
CODE
MODEL
DATE/TIME
NOTICE OF STORED VEH
DELIVERED PERSONALLY
FILE NO.
ODOMETER
VIN CLEAR IN SVS
LIC CLEAR IN SVS
COLOR
LICENSE NO.
DATE/TIME DISP
NOT’D
MONTH/YEAR
BODY TYPE
VIN
LOG #
STATE
ENG #
REGISTERED OWNER
LEGAL OWNER
SAME AS RO
STORED
IMPOUNDED
IMPOUNDED
RECOVERED – VEHICLE/COMPONENT
TOWING/STORAGE CONCERN (NAME ADDRESS, PHONE)
STORAGE AUTHORITY (VEH CODE SEC.)
TOWED TO/STORED AT
AIRBAG?
CONDITION
YES
WRECKED
BURNED HULK PER 431C VC
VANDALIZED
ENG/TRANS STRIPPED
MISC PARTS STRIP
BODY METAL STRIP
SURGICAL STRIP PER 431 (b) VC
CAMPER
TIRES/WHEELS
NO
CONDITION
LEFT FRONT
YES
STOLEN VEH/COMPONENT
DRIVEABLE
JUNK
ITEMS
NO
UNKNOWN
YES
VIN SWITCH
YES
NO
NO
YES
SEAT (FRONT)
SEAT (REAR)
RADIO
CD PLAYER
CD’s
OTHER RADIO
IGNITION KEY
VESSEL AS LOAD
TIRES/WHEELS
REGISTRATION
ALT/GENERATOR
BATTERY
DIFFERENTIAL
TRANSMISSION
AUTOMATIC
MANUAL
FIREARMS
VEH RELEASED TO:
R/O OR AGENT
AGENCY HOLD
22850.3 VC
NAME OF PERSON/AGENCY
ID#:
AUTHORIZING RELEASE
DATE:
DATE:
NO
YES
ITEMS
RIGHT FRONT
LEFT REAR
RIGHT REAR
SIGNATURE OF PERSON AUTHORIZING RELEASE
NO
CERTIFICATION: I, THE UNDERSIGNED, DO HEREBY CERTIFY
THAT I AM LEGALLY AUTHORIZED AND ENTITLED TO TAKE
POSSESSION OF THE ABOVE DESCRIBED VEHICLE
SIGNATURE OF PERSON TAKING POSSESSION/DATE
EMBEZZLED VEHICLE
PLATE(S) REPORT
DATE/TIME OF OCCURRENCE
DATE/TIME REPORTED
NAME REPORTING PARTY (R/P)
DRIV LIC#/STATE
LAST DRIVER OF VEH
DATE/TIME
ADDRESS OF RP
TELEPHONE OF RP:
I CERTIFY OR DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING IS TRUE
AND CORRECT.
SIGNATURE OF PERSON MAKING REPORT:
REMARKS (LIST PROPERTY, TOOLS, VEHICLE DAMAGE, ARRESTS
DRIVER’S NAME
SIGNATURE OF OFFICER
ARRESTED/SECTION?
YES
NO
ID#
SUPERVISOR
REPORTED BY:
CARGO/TYPE?
YES
NO
VALUE $
BILL OF LADEN
REQUIRED NOTICES SENT TO R/O AND L/O
PER 22852VC
YES NO
DATE
NOT’D
VEHICLE REPORT
Professor Ray Lewis
Administration of Justice
El Camino College
STOLEN/EMBEZZLED NARRATIVE
1. AREA
RURAL
2. TAKEN FROM
STREET
PARKING LOT
OTHER________________
5. PAYMENTS CURRENT?
YES
NO
URBAN
GARAGE
DRIVEWAY
3. REG IN VEH?
YES
NO
4. WAS NEIGHBORHOOD CHK’D FOR VEH,
6. DOORS LOCKED
7. KEYS IN VEH?
WIT.(S), LEADS
YES
NO
YES
NO
OR OTHER CRIMES?
YES
NO
8. ALL KEYS ACCOUNTED FOR
9. WHEN WAS VEH
10. WHERE?
11. USUAL MECHANIC
YES
NO
LAST SERVICED?
YES
NO
12. RECENTLY LEFT IN PARKING GARAGE
13. IF YES, WHERE?
14. VEH EQUIPPED WITH ORIGINAL ENGINE?
OR PARKING VALET SERVICE?
YES
NO
YES
NO
UNK
15. ORIGINAL TRANSMISSION? 16. ORIGINAL PAINT?
17. IF ANSWER TO 14, 15, 16 IS NO, PROVIDE ADDITIONAL INFORMATION,
YES
NO
YES
NO
SERIAL NO., ORIGINAL COLOR, ETC.
18. HAS VEH BEEN PREVIOUSLY INVOLVED
19. IF YES, HAS DAMAGE BEEN FIXED? 20. PARTS DAMAGED?
IN AN ACCIDENT?
YES
NO
YES
NO
21. FACTORY EQUIPPED RADIO, CD PLAYER?
22. IF NO, MAKE, SERIAL NO
23. LOCKING GAS CAP?
YES
NO
YES
NO
24. IS VEH FULLY INSURED?
25. NAME AND ADDRESS OF INSURANCE CO.
YES
NO
26. NAME/ADDRESS OF NEAREST RELATIVE NOT LIVING WITH R/P
27. IDENTIFYING MARKS, BUMPER STICKERS, ADD ON EQUIPMENT, ETC.
DRIVER’S LICENSE NO/STATE
28. SUSPECT NAME
HEIGHT
WEIGHT
EYES
HAIR
ADDRESS
TATTOOS
OTHER
RECOVERY NARRATIVE
29. NAME, DATE AND CASE NUMBER OF REPORTING AGENCY
30. AREA RECOVERED 31. DESCRIPTION OF RECOVERY AREA
RURAL
URBAN
33. EVIDENCE LOCATED
34. WITNESSES, LEADS OR OTHER CRIMES?
YES
NO
32. RECOVERY
COMPLETE
35. MISSING IDENTIFIABLE PARTS
ENTERED IN SVS
YES
NO
COMPONENT RECOVERY
36. DESCRIPTION
37. SERIAL NUMBER
NARRATIVE
PARTIAL