Repair Authorization Form

Authorize your vehicle repairs quickly and easily by completing this form. Your submission ensures we can begin working on your vehicle without delay. If you have any questions about the form or the repair process, feel free to contact us—we’re here to assist you every step of the way!

Personal Information

Vehicle Insurance Information

Terms & Conditions

I hereby authorize the above repair company to repair my vehicle based upon estimate(s). I agree to allow your employees to operate the above vehicle for purposes of repairing, testing, inspection, or delivery. FIXIT Collision will not be held responsible for loss or damage to my vehicle or articles left in my vehicle in case of fire, theft, accident, or any other case. Storage fees of $120.00 per day will be charged if vehicle is not picked up 72 hours after completion of repairs. An express Mechanic’s Lien is acknowledged on the above vehicle to secure the amount of repairs thereto. In the event legal action is necessary to enforce this contract, I, the above listed will pay reasonable attorney’s fees and court costs.

The undersigned grants limited Power of Attorney to FIXIT Collision for the purpose of endorsing insurance checks in the event co-pay insurance checks and/or drafts is/are issued to shop for repair of said vehicle.

We are unable to guarantee a completion date or time due to the complex nature of the repair process. Therefore we do not accept any liability for rental fees that exceeds your insurance company’s limits.

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