This Work Authorization is valid for customers of Andy’s Collision, Airpark Collision, and Allard Collision.
Your name
Your email
Address:
City:
State:
Zip:
Phone:
Preferred Method of Contact: TextEmailPhone
Vehicle Make, Model & Year
Location of Repair Shop: Location of VehicleChandlerMesaPhoenixCasa GrandeAirpark CollisionAndy's Collision West ValleyAndy's Collision North Phoenix
Insurance Company (If Applicable)
Claim Number:
I hereby authorize Allard Collision to make the specified repairs. I understand that full payment will be due upon release of the vehicle, including additional supplemental damage charges. I hereby grant Allard Collision employees permission to operate the vehicle on streets, highways, or elsewhere for the purposes of testing and/or inspection. An express mechanics lien is hereby acknowledged on the vehicle to secure the amount of repairs thereto. Upon completion, vehicles will be held for 10 business days without storage fees. Thereafter you will be assessed $15.00 per day and in certain circumstances a mechanics lien will be executed, which will result in a $500.00 Administration fee. I authorize and acknowledge an express mechanic’s lien in favor of Allard Collision on the vehicle described herein for all charges for repairs, including labor and parts, storage and/or towing. I understand that if payment in full is not received within ten days after Allard Collision has notified the Customer that the repairs are completed: (i) Allard Collision may, in accordance with applicable state law, begin lien sale proceedings and sell the vehicle at public auction; and/or (ii) Allard Collision may refer such account to its attorneys or a collection agency for collection.
Allard Collision will not be held responsible for loss or damage to vehicle or articles left in the vehicle in case of fire, theft, accident, or any cause beyond Allard Collision control.
Limited Warranty:
Any warranty claims are subject to and limited by the express terms and conditions of the Limited Warranty located at https://allardcollision.com/guarantee-and-warranty/. ALLARD COLLISION HEREBY DISCLAIMS ANY AND ALL IMPLIED WARRANTIES WITH RESPECT TO THE REPAIR OF THE VEHICLE, INCLUDING, WITHOUT LIMITATION, THE IMPLIED WARRANTIES OF MERCHANTIBILITY, PERFORMANCE, CONDUCT, OR FITNESS FOR A PARTICULAR PURPOSE. ALLARD COLLISION DOES NOT GUARANTEE THAT IT WILL IDENTIFY ALL REPAIRS NEEDED FOR A VEHICLE, THAT IT WILL BE ABLE TO FIX ALL IDENTIFIED REPAIRS, OR THAT IT WILL BE ABLE TO RESTORE A VEHICLE TO OPERATING CONDITION.
Privacy Notice
Allard Collision only collects information required for proper processing of your insurance claim, estimate, and/or repair. Please refer to our privacy policy at www.AllardCollision.com/privacy-policy for more information.
Power of Attorney
I do hereby appoint Allard Collision to act as Power of Attorney in fact to accept on my behalf any and all checks, drafts, or bills of exchange, and to endorse all such checks, drafts, bills of exchange for deposit to Allard Collision’s account for credit on my account for repairs to my vehicle. I authorize any and all supplemental charges to be made payable to Allard Collision.
Subpoenas and Legal Process
If, as a result of my seeking an estimate for repairs from Allard Collision or due to Allard Collision performing repairs on my vehicle, Allard Collision is required to (a) respond to any court subpoenas, (b) produce documents to be used in court or other proceedings, or (c) provide testimony by deposition or in any court or similar action involving me and any third party, I will pay Allard Collision (a) $500 for providing documents in response to any subpoena, (b) $1,000 for each day or partial day of fact testimony of any Allard Collision’s employee is asked to testify at any deposition or proceeding and (c) $500 per hour for each hour of expert witness testimony of any Allard Collision’s employee at any deposition or proceeding.
VEHICLE RELEASE POLICY
I understand that full payment for all parts and repairs will be due prior the release of the vehicle, including additional supplemental damage charges and all deductibles and other charges not covered by insurance
Allard Collision accepts personal checks up to $25,000.00 as well as all major credit cards, Money Orders and Cashier’s Checks.
Multiple Party checks must be endorsed prior to vehicle release.
I understand that the estimates on repairs, charges, and completion date are not guaranteed and are subject to change.
I understand that if I cancel repairs, I will be responsible for any part restocking fees and for any work already preformed
All damaged parts will be properly disposed of and not kept for any reason.
I have read and understand Allard Collision’s Authorization Form and Vehicle Release Policy and hereby agree to their terms.
Signature:
Date: