Donate Your Vehicle Form

Phone

This field is for validation purposes and should be left unchanged.

Does this vehicle have a lien on it?*

Unfortunately, we cannot accept a vehicle with an outstanding lien. To donate your vehicle, the lien must be paid, the title must be cleared, and you’ll need to obtain a lien release from your financial institution. We hope you reconsider the animals for your generous donation once your vehicle is ready.

Is this vehicle being donated by an:*

Your Info

Name*

First Middle Last

Email*

Phone*

Preferred Phone

Mailing Street Address*

Street Address Apartment/Suite Number City State ZIP Code

Is the vehicle location the same as your address listed above?*

Vehicle Location

Vehicle Street Address*

Street Address Apartment/Suite Number City State ZIP Code

Tax Information

SSN

If your vehicle sells for over $500 and you wish to claim the donation on your taxes, Oregon Humane Society must file a form which requires your tax ID. If you don’t plan to claim this donation, please leave this field blank.

Organization Info

Organization Name*

Organization Email*

Organization Phone*

Preferred Organization Phone

Organization Mailing Street Address*

Street Address Apartment/Suite Number City State ZIP Code

Is the vehicle location the same as your organization address listed above?*

Vehicle Location

Vehicle Organization Street Address*

Street Address Apartment/Suite Number City State ZIP Code

Contact Person

Contact Person*

First Last

Who our partner tow company will contact to schedule the tow

Contact Person Email*

Contact Person Phone*

Preferred Contact Person Phone

Tax Information

EIN

If your vehicle sells for over $500 and you wish to claim the donation on your taxes, Oregon Humane must file a form which requires your tax ID. If you don’t plan to claim this donation, please leave this field blank.

How did you hear about OH’ auto donation program?

Vehicle Info

Year

ex: 2018, can only input a calendar year, nothing else

Make*

Car Brand, ex: Kia or Honda

Model

ex: Soul or Civic

Color

License Plate Number

Input plate only, not the state or any additional info, limited to 10 characters

Vehicle Identification Number (VIN)

Limited to 17 characters

Mileage

Limited to 7 characters, include only mileage number and nothing further

Do you have the vehicle title?*

Vehicle Documentation

Condition

Is the vehicle running?

Describe the vehicle's mechanical condition

Describe the vehicle's interior and exterior condition

Yes, sign me up to receive emails from Oregon Humane about animal rescues, uplifting stories, upcoming events, and more!

This is for the Contact Email address

Donate Your Vehicle

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Your Info

Vehicle Location

Tax Information

Organization Info

Vehicle Location

Contact Person

Tax Information

Vehicle Info

Condition

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Autos for Animals Program

Salem Campus

Community Veterinary Hospital

Hours & Directions

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