Car Application

Please fill out the application below for consideration to receive a donated car. Keep in mind that we receive over 150 vehicle requests annually, but only take in about 60 cars annually.

Basic eligibility:

You will have to provide proof of a current and valid driver’s license before being considered as a potential recipient
Due to a long waiting list and limited donation vehicles, you may be waiting more than 6 months to receive a vehicle (if you are selected to receive one). There is no way to expedite this.
Multiple application submissions are grounds for removal from the waiting list.
We do not provide a 2nd vehicle for any individual or family (unless the second vehicle is completely disabled)
You are responsible for maintaining your vehicle after receipt
All vehicles come with a limited warranty. Bear in mind that these are donation vehicles and will need basic maintenance and upkeep at your expense
You are responsible for providing updated insurance, tax, title, and license after the temporary ones expire
We do not finance vehicles, nor do we sell vehicles; however we can point you in that direction if you need assistance.
We do not repair vehicles; however, we can provide a list of trusted mechanics who can repair vehicles for a price.
We do not buy vehicles; however, we do provide a tax credit (1098-C) at the full NADA value for all donated vehicles

*** Incomplete Applications will be discarded immediately upon receipt! ***

Completing the application below constitutes understanding and acceptance of the information above:

Full Name (First and Last name)(required)

Email(required)

Date of Birth (MM/DD/YYYY)(required)

Phone(required)

Address (Must include street, city, state, and zip)(required)

Annual Household Income (All members, Approx.)(required)

Family Size (Matching a car with a need)(required)

Driver's License Number (Required)(required)

Driver's License State(required)

Is there another operational vehicle in the household?(required)

How did you hear about us?(required)

Please tell us more about why you need a vehicle and what you will use it for.(required)

By checking this box you confirm that the above is true and accurate to the best of your knowledge, and that you have read and understand the basic eligibility requirements outlined at the top of the page.(required)

Mother's Maiden Name (Needed for Insurance)(required)

Last 4 digits of Social Security Number (Needed for Insurance)(required)

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