Request for Payment – Impoundment Immobilization or Removal
Virginia · Supreme Court of Virginia
This form is used to ask the court for payment for costs related to having a vehicle impounded, immobilized, or removed. It asks for details about the vehicle, the person requesting payment, and the reason for the request.
Where this fits in a case
MotionsStage: Motions
This form is used when a vehicle has been taken by the authorities or a storage facility, and the person or company that took it is asking the court to pay for the costs.
Either party may file.
Common questions
- Who fills out this form?
- The form is filled out by the person or company that is seeking payment for the costs.
- What kind of information is needed?
- You must provide details about the vehicle, the person or company requesting payment, and the specific reason for the impoundment or removal.
- Is there a fee mentioned?
- The form directs the filer to submit Form DC-40 for payment authorization.
Revision history
No changes recorded since we started tracking this form on October 10, 2026.
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