Authorization to dispose of a scrap vehicle

Explanation

Fill out this form requesting Selikor’s services for the disposal of your scrap vehicle. Take note that only owners or authorized persons can apply for removal of the scrap vehicle.

Information of the authorized person

Letter of authorization *

Choose File

First name of the authorized person *

Last name of the authorized person *

Email *

Telephone *

Identification Type *

Identity number *

valid identity *

Choose File

Personal information of the scrap vehicle owner

First name owner of scrap vehicle *

Last name owner of scrap vehicle *

Email *

Telephone *

Identification Type *

Identity number *

Address *

House number *

Neighborhood *

Picture of the scrap vehicle's location *

Choose File

Picture of the valid identity *

Choose File

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