The chief of police shall cause to be prepared a form to be used for each wrecker pull in the city. Such form shall provide for the following information:
(1)
The name of the owner or the name of his authorized representative of any disabled vehicle desiring the towing or removing of such disabled vehicle.
(2)
The place to which the owner or his authorized representative shall desire such vehicle to be taken.
(3)
The name of the wrecker operator towing such vehicle and the name of the driver of the wrecker vehicle.
(4)
The description of the vehicle to be towed.
(5)
The signature of the owner or his designated representative authorizing the removal of such vehicle and the towing of such vehicle to its destination.
(1987 Code, sec. 26-106)