Repair Authorization

First Name*

Last Name*

Email*

Phone Number*

Address*

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Vehicle Information

Vehicle Year*

Vehicle Make*

Vehicle Model*

Vehicle Color

License Plate Number*

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Insurance Information

Insurance Company

Claim Number

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Work & Operation Authorization

Work Authorization*

I hereby authorize In Stock Auto Outlet and Collision to make necessary repairs in accordance with its written estimate or that written by the insurance company referenced above. The estimate of repairs includes parts, labor, and diagnosis. Parts prices quoted are current but are subject to change upon notice by manufacturer. If upon further inspection additional parts and/or repairs are needed, I will be contacted for authorization.

Operation Authorization*

I hereby authorize employees of In Stock Auto Outlet and Collision to operate my vehicle for the purpose of testing, inspection, or delivery. An express mechanics lien is hereby acknowledged on the vehicle to secure the amount of repairs thereto.

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In Stock Auto Outlet and Collision will dispose of old parts removed from the vehicle unless otherwise instructions.

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In Stock Auto Outlet and Collision will not be held responsible for loss or damage to vehicle or articles left in the vehicle in the case of fire, theft, accident, or any other cause not due to the negligence of In Stock Auto Outlet and Collision or it’s employees.

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Power of Attorney & Payment Authorization

Power of Attorney*

I hereby authorize any and all insurance payments and supplements for repairs made to my vehicle to be paid directly to the repair shop. I do hereby appoint the repair shop as my attorney in fact to accept on my behalf any and all checks, drafts or bills of exchange and to endorse all such checks, drafts or bills for deposit as credit on my account for repairs on my vehicle. I understand that I am responsible for any deductible, adjustment for depreciation and/or betterment amounts or failure of my insurance company to pay other labor, part, or material costs necessary to restore my vehicle to its pre-accident condition as required by OEM’s repair procedures. Unless other arrangements are made, the total amount of the repair charges must be paid in full before the vehicle will be released for delivery.

Payment Authorization*

To secure payment in the amount of repairs hereto, an express mechanic’s lien is acknowledged, and I further agree to pay reasonable attorney’s fees and court costs in the event that legal action is necessary to enforce this contract.

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Vehicle Release Policy

All repairs must be paid in full prior to vehicle release (Unless prior arrangements have been made).
We do not accept personal checks over $500.00 without prior approval.
On amounts over $500.00, we accept: cash, major credit cards, money orders, or cashier's checks.
All deductibles are payable to In Stock Auto Outlet and Collision.
Multiple party checks must be endorsed prior to vehicle release.
I have read and understand In Stock Auto Outlet and Collision's vehicle release policy.
I understand that estimated delivery date is not guaranteed and is subject to change.
I personally assume all risks of loss for property left in vehicle.
I understand that if I cancel the repairs after parts have been ordered, I will be responsible for any restocking fees, if applicable.

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