Vehicle Donation Form


Donate Your Vehicle Vehicle Donation Form Give Now Online

Please tell us about the vehicle you wish to donate by completing the form below. Certain restrictions may apply to all donations.

Once you have submitted the form, the Vehicle Donation Program will contact you. If your vehicle is accepted, the auctioneer will arrange a pickup date. After the vehicle is auctioned, we will send you a formal document specifying the amount that you may claim for your tax deduction.

For more information, contact Joseph Grant at (206) 461-4861 or via email.

* Required information

Vehicle Donation Form
Name*
Address*
City*
State*
Zip Code*
Home Phone*
Work Phone*
Email*
Vehicle Year*
Vehicle Make*
Vehicle Model*
Vehicle Color
Vehicle License*
VIN Number*
Do you have a title?*	Yes No
Vehicle Title/Certificate Number
If you do not have a title, do you have an Affidavit of Lost Title/Release of Interest or an Affidavit in Lieu of Title? (These documents may be acquired from any Dept. of Licensing location and must be notarized.)	Yes No
Describe Interior Condition (seats, floor, dashboard, etc.)
Describe Exterior Condition (Damage, dents, rust, etc.)
Is vehicle driveable right now? Does the engine run? Explain all mechanical and electrical problems.
If vehicle's location is different from address above, enter contact name/address/phone
Special Instructions/Additional Information