Vehicle Donation Submission

Vehicle Donation Submission

Onward Motion HELPS
Onward Motion HELPS is a 501c3 nonprofit organization that is focused on assisting the disability community. By donating your vehicle, you're helping to provide funds that will show disabled people that “There's Life Beyond Disability".

After submitting this form, you’ll be contacted by a member of Onward Motion HELPS within 2 business days, who can help finalize and coordinate the donation process.

The Onward Motion HELPS representative will provide you with a receipt of your donation to be used for tax deduction purposes.

Thank you for your support!
DETAILS
- Donated vehicle must be without a lien holder (no loan)
- Donated vehicle's title must accompany the donation (will ship seperate from vehicle)
- Once donation is accepted, Onward Motion HELPS will mail you further instructions and a return envelope to mail the signed vehicle title
- Onward Motion HELPS will coordinate and pay for transportation of the donated vehicle
Submission Date*

MonthDayYear
Name of Person Donating Vehicle*

First NameLast Name
Email of Person Donating Vehicle*
A copy of this submission will be sent here
Phone# of Person Donating Vehicle*
Onward Motion HELPS will contact you at this numberFormat: (000) 000-0000.
Address of Person Donating Vehicle*

Street Address

Street Address Line 2

CityState

Zip Code
YesNo
Address Where Donated Vehicle is Located*

Street Address

Street Address Line 2

CityState

Zip Code
YesNo
Explain Why Vehicle is not Safely Accessible*
VEHICLE INFORMATION
Car / PickupMotorcycle / ATVRecreational VehicleSemi / Large VehicleOther
Vehicle Year*
Other-Vehicle Year
List if Other was selected
Car-Pickup Manufacturer*
Other-Car-Pickup Manufacturer
List if Other was selected
Car-Pickup Model*
i.e. F150, CR-V, Tacoma, etc.
Motorcycle-ATV Manufacturer*
Other-Motorcycle-ATV Manufacturer
List if Other was selected
Motorcycle-ATV Model*
i.e. Shadow, RZR, KX250, etc.
Recreational Vehicle Manufacturer*
Other-Recreational Vehicle Manufacturer
List if Other was selected
Recreational Vehicle Model*
i.e. 33BR, 26A, Spirit, etc.
Semi-Large Vehicle Manufacturer*
Other-Semi-Large Vehicle Manufacturer
List if Other was selected
Semi-Large Vehicle Model*
i.e. 379, L9000, FLD120, etc.
Other Vehicle Not Already Listed*
Vehicle Manufacturer & Model
Vehicle Identification Number (VIN)*
Enter or attach a picture of Manuf. Data Tag
Is Vehicle Fully Operational?*
Non-Operational Details*
Provide details why vehicle is not operational. i.e. no engine, transmission not working, etc.
Vehicle Title Clear? (no lien holder)*
VEHICLES CANNOT BE ACCEPTED THAT HAVE A LIENHOLDER.
Estimated Vehicle Value ($USD)*
PROVIDE VEHICLE PICTURES IF POSSIBLE
- Option 1: Upload pictures already saved to your device
- Option 2: Take a photo of the vehicle
Option 1: Upload Vehicle Pictures

Cancelof
Option 2: Take Photo of Vehicle
I certify that I'm the owner of the above listed vehicle that I'm submitting for donation to Onward Motion HELPS.

Submitting this form does not complete the donation process. An Onward Motion HELPS representative will contact you to complete the process.
Signature of Person Donating Vehicle*

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