Section- B (Tow Operators) Amendment Form
Email *
Name of Wrecker Service *
Name of individual filling out this application
 *
Tow truck operator *
Tow Truck Operators-  If removing, only the operators name is needed.  (Please list the following information for each new operator) 
  1. Full Name
  2. Date of birth
  3. Address
  4. Phone number
  5. Years of experience
  6. Medical card Expiration
  7. Is Driver tow certified? (Only AAA, TRAA, Utah Safety Council or Wreckmaster accepted)
Operator #1
 *
Operator #2
A copy of your responses will be emailed to .
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