AVA

Calaveras County Code Compliance

ABANDONED VEHICLE ABATEMENT

"Compliance Through Education"

891 Mountain Ranch Road -
San Andreas, CA 95249

Phone: (209) 754-6326 Fax: (209) 754-6328

Vehicle Location

Address & City or Location of Vehicle(s):

Nearest Cross Street:

Vehicle Description

Year:

Make:

Model:

Body Type:

Color:

License Plate #:

Vehicle ID (VIN) #:

Owner's Name:

Owner's Mailing Address:

Phone #:

Additional Vehicles?:

No
Yes

Requestor Information

Requestor's Name:

Email Address:

Mailing Address:

Phone # :

As the requestor, do these vehicles belong to you?:

No
Yes

Are there any loose dogs on the property?:

No
Yes

Are there any locked gates?:

No
Yes

If you do not own this property, what is the Property Owner's Name?

Name:

Address:

Phone:

Signature

Requestor's Signature:

Date:

Submit

**IMPORTANT**

Select the "Submit" button only once. If you are not re-directed to the "Thank You" screen after clicking submit, please verify you have completed all the required fields. Errors will be shown to the right of the required field.