Auto Repair Estimate Template

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ABC AUTO REPAIR SHOP
_____month/________mile warranty
PLEASE READ CAREFULLY, CHECK ONE OF THE
on all parts and labor unless
123 ANY STREET
STATEMENTS BELOW, AND SIGN:
otherwise specified.
I UNDERSTAND THAT, UNDER STATE LAW, I AM
ANY PLACE, FL 33333
ENTITLED TO A WRITTEN ESTIMATE IF MY FINAL BILL
Intended Payment Method:
(123) 456-7890
WILL EXCEED $100.
****SAMPLE ****
CASH CHECK
VISA MC AMEX
____I REQUEST A WRITTEN ESTIMATE.
FLORIDA REGISTRATION: MV- 00000
Date:
Time:
____I DO NOT REQUEST A WRITTEN ESTIMATE AS LONG
Name:
Proposed Completion Date:
AS THE REPAIR COSTS DO NOT EXCEED $_______.
Address:
Home Ph:
THE SHOP MAY NOT EXCEED THIS AMOUNT WITHOUT
City:
State:
Zip:
Work Ph:
MY WRITTEN OR ORAL APPROVAL.
Other Authorized Person:
Phone:
____I DO NOT REQUEST A WRITTEN ESTIMATE.
Year/Make:
Model:
Tag:
Miles In:
SIGNED _______________________ DATE ____________
VIN# :
Miles Out:
*U/Used R/Rebuilt RC/Reconditioned NC/ No Chg/Warranty RD/Reduced/
Save Old Parts:
Yes
No (Core may apply)
EXTEND Customer Complaint/Problem:
QTY PART NO
DESCRIPTION
*
PRICE
LABOR CHARGES BASED ON:
ESTIMATE/DIAGNOSTIC FEE:
$
/OR HOURLY AT
FLAT RATE
HOURLY RATE
$
PER HOUR
BOTH APPLY
A storage fee of $
per day may be applied to vehicles which are not claimed within 3 working days of notification of completion
DESCRIPTION OF REPAIRS
CHARGES
LABOR
ESTIMATE
INVOICE
PARTS:
$
LABOR:
$
SUBLET/OTHER
$
** SHOP SUPPLIES
$
Estimate good for 30 days. Not responsible for damage caused by theft, fire or acts of
***FEES$
nature. I hereby authorize the above repairs, including sublet work, along with the
Subtotal:$
necessary materials. You and your employees may operate my vehicle for the purpose of
Tax:
$
testing, inspection and delivery at my risk. If I cancel repairs prior to their completion for
any reason, a tear down and reassembly fee of $________ will be applied.
**This charge represents costs and profits to the motor vehicle repair facility for miscellaneous
TOTAL:
shop supplies or waste disposal. ***FS403.718 mandates a $1.00 fee for each new tire sold in the
$
State of Florida. ***FS403.7185 mandates a $1.50 fee for each new or remanufactured battery
X______________________________Date__________
sold in the State of Florida.

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