• REPAIR AUTHORIZATION FORM

    Remote Touch-less Option
  • Unlimited Maintenance and Repair LLC

    4803 Freedom Rd. Houma, La 70360 (985)262-2228 www.UnlimitedMR.com
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  • Vehicle Information

    Fill in as much information as you know. We can finish the rest When the vehicle arrives.
  • Storage Fees

    Storage fees of $20.00 a day will be charged if vehicle is not accounted for 7 days after notification of estimated or completed repairs also to include abandonment.
  • Mechanic Lien

    An express mechanic’s lien is acknowledged on the above vehicle to secure the amount of repairs thereto. In event legal action is necessary to enforce this contract, I the above will pay reasonable attorney’s fees and court costs.
  •    PLEASE READ CAREFULLY, Check only one of the following Statements below.
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  • I hereby authorize Unlimited Maintenance and Repair (UMR) to repair my vehicle based upon the agreed repairs. I agree to allow your employees to operate the above vehicle for purposes of repairing, testing, inspection or delivery. UMR will not be held responsible for loss or damage to my vehicle or articles left in my vehicle in case of fire, theft or accident or any other cause including acts of god. UMR cannot be held liable for unintentional damages to parts because of rust, dry rot, aged, brittle or any other damages beyond our reasonable control. I agree that UMR is not responsible for delays caused by unavailability of parts, or delay in parts shipment. In the event of work decline, I understand there may be charges, including but not limited to the following: Towing, Storage, Administrative fees, Diagnostic fees, restocking fees, labor charges, legal and recovery fees. All fees are due and are my responsibility prior to pick up/delivery of my vehicle, unless prior arrangements have been made. Labor Hourly Rate $107.70, Mitchell Labor Repair Times.

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