Facility—
Order #—
Vehicle—
VIN—
Authorized carrier—
DOT/MC · truck—
Valid through—
This pass authorizes the carrier named above to enter the facility and take custody of the vehicle described, for transport arranged through Loadgency (Haulgency LLC, property broker). Present with valid ID and DOT/MC. The vehicle is inspected and photographed at pickup per the Loadgency inspection standard. Storage/fees, if any, must be cleared before release.
Facility release — signature
Driver — signature