If you provide roadside assistance, you know how important it is to respond quickly and accurately during an emergency. To give great service, you’ll need paperwork that covers all the details and helps get the vehicle moving again fast.
A roadside assistance form is used to record and invoice the services provided when vehicles break down. Roadside assistance covers more than just towing—it includes jumpstarts, battery replacements, tire changes, emergency fuel, key recovery, and more.
This roadside assistance form template is designed to help you quickly fill in the necessary details. It covers everything from vehicle information to services provided and charges, so you can keep accurate records without missing anything important.
How to Use this Form
We will now discuss what this form covers and how to fill out:
Header
At the top of the template, you can add your company’s name and details, such as address, contact number, etc. You can also add your business logo. This information helps identify the business responsible for the service.
After this, you can note down the time and date of the assistance request as well as the name of the person who requested it.
Owner’s Details
This section collects information about the vehicle owner, such as their name, phone number, city, state, and zip code.
Driver’s Details
This is for the driver’s information. It mirrors the owner’s details but refers to the person driving the vehicle, which may be different from the owner. Add the driver’s name, phone number, and address, including city, state, and zip code.
Vehicle Information
This part gathers the vehicle’s key identification, including the license number, make, model, and year. Input the vehicle’s license plate number, make (e.g., Ford), model (e.g., Focus), and year of manufacture.
Vehicle Towed To
You can specify the location where the vehicle is being towed in this section of the template. Write the address or name of the facility where the vehicle will be towed. Since towing charges can vary greatly between urban and remote regions, it is wise share the fair with the cat owner and properly indicate that in your form to avoid any disputes over costs.
Reason for Service
This part allows you to select the reason the vehicle needs towing, such as an accident, abandoned vehicle, tow zone, or impoundment. You can select the appropriate box that describes the reason for the tow, like an accident or impound.
Mileage
This section calculates the distance the vehicle will be towed and the related charges. Enter the mileage before and after the tow to calculate the total miles. You can then include the rate charged per mile.
Labor Time
This section records the hours worked to complete the service. First, write the start and finish times, then calculate the total labor hours. Multiply by the hourly rate to get full labor costs.
Special Equipment
If any special towing equipment was used, this section allows for selection (e.g., dolly, winch, snatch block). Check the equipment used during the tow, like dolly or winch, to ensure it’s recorded.
Extra Person(s)
If extra personnel were involved in providing roadside assistance, this section captures their details and any additional charges. Write the name and number of extra personnel in the provided field.
Type of Tow
Here, you specify the type of tow service, such as sling hoist tow, flatbed tow, or wheel lift. Check the correct box based on the tow type, like flatbed tow or wheel lift.
Towed Per Order Of
This specifies who requested the tow, such as the police, owner, or property manager. You can select the checkbox that matches who ordered the tow.
Damage Area(s)
If the vehicle was damaged, this section documents the affected areas. Note any visible damage to the vehicle’s exterior or interior areas before tow and write it down.
You might be responsible for covering the cost of the damage if the car’s owner claims that the tow caused the damage to their vehicle. Therefore, it is wise to thoroughly inspect the vehicle and document any existing damages before towing.
Storage Charges
If the vehicle will be stored after the tow, this section records the daily rate and total storage cost. In many states, there are regulations on what can be charged for storing vehicles after towing. Enter the daily storage rate and the total number of days, and then calculate the total charge.
Payment Method
Write how the customer will pay, whether by cash, check, or card, in this section of the template. Select the relevant payment method and add a card or check details if applicable.
Towing Charges Summary
This is a breakdown of all costs, including towing, mileage, labor, storage, and additional charges. You can sum up all charges, including towing, mileage, and any extras, and then calculate the subtotal and add tax for the grand total.
Signatures
This part includes fields for the signatures of the tow operator, the person releasing the vehicle, and the authorized person receiving it. The tow operator, vehicle releaser, and authorized recipient should each sign and date in the appropriate fields.
This template is available in multiple formats like Google Docs, DOCX, DOTX, and ODT. You can easily modify the sections or text fields in this template according to the services you provide. Similarly, you can remove sections or change the layout of this form as well. This ready-made form saves time and improves your administrative efficiency.
If you are providing only towing services, you should provide your customers with a towing receipt with all details of the towing service.
Is Roadside Assistance the Same As an Insurance Claim?
No. It is not the same. Roadside assistance coverage helps to mobilize your car during emergencies on the road. Car insurance, on the other hand, covers damages or losses to your car.
Towing Vehicles Without Authorization
In most situations, you cannot tow away a vehicle without proper authorization or permission from the owner. Doing so might lead to civil litigation and liability for damage to the vehicle as well. As a roadside service provider, you must have proper authorization before you tow away a vehicle. This roadside service form template features a section Towed per Order Of to identify the authorization or permission for towing and facilitate compliance.
