I understand that the insurance company listed below has deemed my vehicle to be a total loss.  I acknowledge that I have removed all of my personal belongings from the vehicle, including my license plate, and authorize Vision Collision Centers LLC dba 14/69 Auto Body to release my vehicle to the salvage yard.  

The authorization code must be provided by a 14/69 Auto Body LLC representative. If you don't have a code contact us at 260-436-2639.