Free Auto Repair Release Form Template
Auto Repair Release Form
Please fill out the following release form with the correct information.
Customer Information
Name
Address
Phone number
Vehicle Information
Make
Model
Year
VIN
Repair Details
Terms & Conditions
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Authorization: By signing this form, the customer authorizes the repair shop to perform the repairs and services listed above on the vehicle described.
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Liability: The customer acknowledges that the repair shop is not liable for any damage to the vehicle unless directly caused by negligence during the repair process.
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Payment: The customer agrees to pay for all services rendered as outlined in the repair estimate. Final payment is due upon completion of the repair.
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Release of Liability: The customer agrees to release the repair shop from any future claims related to the services provided, except those caused by intentional misconduct or gross negligence.
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Unforeseen Costs: If additional repairs are required once the vehicle is disassembled or during the repair process, the repair shop will contact the customer to approve any additional costs.
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Storage Fees: If the vehicle is not picked up within 3 days after repairs are completed, storage fees of $
per day will be applied.
Acknowledgment & Consent
I, the undersigned, acknowledge and consent to the repair and terms outlined above.
Date:
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