Authorization to Repair - Brown Collision

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RENTAL VEHICLES – Brown Collision Center cannot be responsible for any rental reimbursement that occurs as a result of delays in repair nor are we responsible to provide a rental vehicle if the repairs are not completed before your rental coverage expires. Collision repair may contain hidden variables during the repair process that may delay your vehicle from being completed by the original estimate delivery date. Our responsibility is to provide you with a quality repair relative to function, appearance and safety. Quality repairs may require additional time to assure the completion of that agenda. We appreciate your understanding and most of all the confidence you have placed with Brown Collision Center.

Name*

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Consent*

I understand the above statement about rental vehicles.

By submitting this form, I understand that Brown Collision Center cannot be responsible for any rental reimbursement that occurs as a result of delays in repair nor are we responsible to provide a rental vehicle if the repairs are not completed before your rental coverage expires.

PERSONAL BELONGINGS - BROWN HIGHLY RECOMMENDS TAKING ALL PERSONAL BELONGINGS OUT OF THE VEHICLE BEFORE REPAIRS BEGIN (I.E. MP3 PLAYERS, GPS SYSTEMS, JEWELRY, MONEY, AND PERSONAL INFORMATION).BY INITIALING YOU UNDERSTAND THAT BROWN COLLISION CENTER IS NOT RESPONSIBLE FOR ANY PERSONAL ITEMS LEFT IN VEHICLE AND WAIVE ANY RIGHT FOR REIMBURSEMENT FOR MISSING ITEMS.

Name*

First Last

Consent*

I understand the above statement about personal belongings.

By submitting this form, I understand that Brown Collision Center is not responsible for any personal belongings left in the vehicle.

DISMANTLE AUTHORIZATION - I hereby authorize the dismantle work herein to be performed along with the necessary material, and hereby grant you and/or your employees’ permission to operate the car or truck herein described on the streets, highways, or elsewhere for the purpose of testing and/or inspection. An express mechanics lien I hereby acknowledge on this vehicle to secure the amount of the repairs hereto. I further authorize Brown Collision Center to dismantle my vehicle per the insurance estimate and/or customer pay estimate, including all supplementary claims and hereby assume all personal liability for payment in full for any work performed on the said motor vehicle.

Name*

First Last

Consent*

I agree to the dismantle authorization.

By submitting this form, I authorize Brown Collision Center to dismantle the vehicle.

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