Repair Authorization Give Us A Call Request an Estimate Authorization Form InstagramThis field is for validation purposes and should be left unchanged.Name(Required) First Last Phone(Required)Email(Required) Vehicle Year, Make, Model, Color(Required)Insurance Company: (If you aren't going through insurance, type Customer Pay)Deductible Amount: (If you have no deductible, type zero)Terms and Conditions(Required)I hereby authorize Snelson Collision Repair, to inspect, test, operate, disassemble, and repair the above-described vehicle as necessary to restore it to safe operating condition. I am the owner of the vehicle or have legal authority from the owner to authorize repairs. I understand that I am responsible for payment of my insurance deductible, regardless of fault or coverage determination. I acknowledge that: • My deductible amount is determined by my insurance policy, not by Snelson Collision Repair. • My deductible is due at the time of vehicle pickup. • Repairs will not be discounted, waived, or reduced to offset my deductible unless required by law. • Insurance payments are separate from my deductible obligation. I agree that my vehicle will not be released until: • My deductible is paid in full, and • All outstanding balances are satisfied. I confirm that I have read and understood the terms outlined above.Signature(Required)Type your name here - This is confirming you agree to authorization and payment agreements.(Required)
