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For consumer and applicant appeals procedure questions or concerns, please visit The Department of Developmental Services website at  www.dds.ca.gov/complaints or call (916) 654-1987


 United Cerebral Palsy is a 501(c)(3) organization

Have questions about the Donate a Car program?  Check out our Frequently Asked Questions or Call 1-866-UCP-7212.

Donor Information:

         First Name    REQUIRED

         Last Name    REQUIRED

              Address    REQUIRED

                 City    REQUIRED

                                       

                   State     REQUIRED        Zip     REQUIRED

  Daytime Phone  (  )  - REQUIRED

 Alternate Phone (  )  -  

 

               E-Mail 

Vehicle Location:

    Check here if vehicle location is same as Donor address above.

            Address 

                   City 

       State & Zip   

Vehicle Information:

                Year 

               Make 


              Model 


License Plate 


                  VIN 


Damage to Body (Describe):

Damage to Interior (Describe):

Is your vehicle driveable as is?  If not, please explain.

Do you have the Certificate of Title?  If not, please explain.

Special Instructions or Other Comments:
 

Donate a Car

Your tax deductible car donation will benefit the United Cerebral Palsy Association of Greater Sacramento.

 

 

 

 

 

 

 

 

 

 

 

 

 

 
© 2006 United Cerebral Palsy of Greater Sacramento

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