Authorization

Complete our online authorization form to get your repair started quickly and conveniently. This form grants us permission to perform the necessary repairs on your vehicle.

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Collision Care Pros

Legally Binding Repair Authorization and Consent

IMPORTANT NOTICE:

This is a legally binding document. By signing, you authorize Collision Care Pros, LLC. ("Collision Care Pros") to perform repair work on your vehicle under the terms described below, pursuant to Florida Statutes Section 713.585 (Motor Vehicle Repair Lien).

1Customer Information
2Vehicle Information
3REPAIR AUTHORIZATION AGREEMENT

WORK AUTHORIZATION

I warrant and represent that I am the owner of the above-described vehicle (hereinafter “the vehicle”) or an authorized agent of the owner, and that Collision Care Pros, LLC. is authorized to repair the vehicle and provide the necessary services, parts, and materials needed for the repair. I further authorize Collision Care Pros, LLC. employees to operate the vehicle on streets and elsewhere for the purpose of testing and/or inspection at my own risk. I acknowledge and understand that Collision Care Pros, LLC. will have an express mechanic’s lien on and a security interest in the vehicle until such time as all indebtedness is paid in full, and if I choose to cancel my repairs and reassembly, a fee of up to $500.00 will apply in addition to any restocking or nonrefundable items. I further agree that Collision Care Pros, LLC. shall not be responsible for loss or damage to articles left in the vehicle in case of fire, theft, or any other cause. I further authorize Collision Care Pros, LLC. to be my representative to negotiate with any insurance company regarding the restoration of the vehicle to pre-accident condition and value. Collision Care Pros, LLC. is authorized to endorse drafts, checks, or bills of exchange from the insurance company securing payment as credit on my account for repairs on the above-said vehicle. I appoint Collision Care Pros, LLC. as my Power of Attorney.

MECHANIC'S LIEN NOTICE

Owner/Agent acknowledges and understands that payment of the insurance deductible is due to Collision Care Pros, LLC. prior to release of the vehicle. Owner/Agent acknowledges and understands that all vehicles left over three (3) business days after the scheduled pick-up date, completion, or cancellation of work order are subject to a daily Care, Custody, and Protection (CCP) fee of $150 per day, as well as an administration fee, tear-down, and any applicable fees for recovery purposes. Collision Care Pros, LLC. has the right to repossess and sell the vehicle in satisfaction of its lien or security interest. I authorize Collision Care Pros, LLC. to contact me about my repair via phone, email, or text message and agree to any data rates that may apply. You may opt out of communications at any time.

CONSENT TO ELECTRONIC COMMUNICATIONS & ELECTRONIC SIGNATURES

The customer and Collision Care Pros, LLC. agree that this Authorization Form may be executed and delivered by electronic signatures and that the signatures appearing on this Authorization Form have the same force and effect and are the legal equivalent of your manual signature.

CUSTOMER ACKNOWLEDGMENT

By signing below, I confirm:

  • 1. I confirm that I have read, understand, and agree to all terms in this Authorization Agreement

IMPORTANT: This is your legal authorization to repair. Keep a copy for your records.

4FINAL ACKNOWLEDGMENT
Secure & Confidential — 256-bit encrypted
Legally Binding — ESIGN Act compliant