Name:


Day-time phone number including area code:


Your mailing address including city / town and zip code:


The address where the vehicle(s) is/are located:



You do not need to be home, but a Pierce County Responds Code Enforcement Officer will need to access your property to view and document the junk vehicle(s). Please note it has to qualify as a junk vehicle.

Do we have authorization to access your property? Please check 'Yes' or 'No' below:

Yes No

Please list as much information as you can for each vehicle, such as make, model, color, year, license plate (state issued), and VIN.

Vehicle #1:

Vehicle #2:

Vehicle #3:

Vehicle #4:

Vehicle #5:

Vehicle #6:

Vehicle #7:

Vehicle #8:

Vehicle #9:

Vehicle #10:

*Please list any additional information that would be helpful for our Code Enforcement Officer to know, such as: are there dogs on the property, a locked gate, etc.

Thank you. Your request will be processed in the order it was received. If we have any questions, or require additional information, we will call you soon. Otherwise, you may expect a letter acknowledging receipt of your request.