Donate to Cars for Kids

Home > Cars for Kids Donation Form

If you would like to donate a car or truck to Catholic Charities of Omaha, please complete this car donation form so we can begin processing your vehicle donation.

Required*

Model Year *

Model year must contain 2-4 numbers.

Make *

Field not valid (required or bad value)

Model *

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Approximate Mileage *

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Color

Vehicle Identification Number (VIN) VIN can be located on the driver's door jam, dashboard near the window, or your vehicle insurance card.

Is this vehicle drivable? * Yes No

Select one

Mechanical Condition

Exterior/Interior Condition

Notes About Pick-up Please tell us any special circumstances to pick-up this vehicle.

Do you have a clear title on your vehicle? * Yes No

Select one

Is there a lien (e.g. the name of a bank) on the front of the title under your name? *

Field not valid (required or bad value)

If so, do you have a notarized lien release? * Yes No

Select one

Title

First Name *

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Last Name *

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If Applicable, First Name of Spouse

Spouse Last Name

Address *

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City *

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State *

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Zip Code *

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Phone *

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Alternate Phone

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What is your gender? Male Female

If you attend church, what church do you attend?

What is your age range

How did you hear about Cars for Kids *

Select one

If Other, Please Describe

Catholic Charities, Inc.

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