Car Booting Intake

First Name

Last Name

Phone

Email

Date of Your Booting

Provide the address of where you were booted. If you do not have an exact address, give a general location as best you can:

Bonus points if you can provide a google map link of the exact location you parked.

What is the name of the booting company that booted you?

Common booting companies: ABS, EPS, ABL, CPS, VPE, Boot Man

Did you personally pay money for the removal of a boot? If so, how much?

Describe the Circumstances of Your Booting

Internal Tracking ID

Submitting Your Completed Form