Work Authorization Form - Carubba Collision printable pdf download

Work Authorization Form - Carubba Collision

Work Authorization Form

I hereby authorize the repair work herein set forth to be done by you, together with

furnishing by you of the necessary parts and other material for such repair, and

agree; that you are not responsible for any delays caused by unavailability or

delayed availability of parts or materials for any reason; that you neither assume nor

authorize any other person to assume for you any liability in connection with such

repair; that you shall not be responsible for loss of or any damage to the above

vehicle, or articles left therein, in case of fire, theft or other cause beyond our

control; that an express mechanic's lien is hereby acknowledged on the above

vehicle to secure the amount of repairs thereto; that your employees may operate

the above vehicle on streets, highways or elsewhere for the purpose of testing

and/or inspecting such vehicle.

I do hereby appoint the aforementioned business to accept on my behalf any and all

checks, drafts, or bills of exchange, and to endorse all such checks, drafts, or bills or

exchange for deposit to the aforementioned business account for credit on my

account for repairs on my vehicle which has been released and accepted.

We will provide you with a free loaner if you do not have insurance coverage for one.

Free loaner policy does not apply to claimants of an insurance company. I have read

and agree with the above. I hereby authorize Carubba Collision to perform the above

detailed repairs to this vehicle.

X______________________________ Date:_________________

Signature of owner or agent

______________________

Name (please print)

Disclaimer of warranty

The seller, hereby expressly disclaims all warranties, either expressed or implied,

including any implied warranty of merchantability or fitness for a particular purpose,

and neither assumes nor authorizes any other person to assume for it any liability in

connection with the sale of said products, the seller also does not offer any

guarantee on rust or any time depreciation.

Work Authorization Form - Carubba Collision