Progressive Work Authorization
  • Format: (000) 000-0000.
  • By signing on the Customer Signature line below, you, the undersigned customer ("you" or "Customer"), agree and acknowledge all of the following:

    Customer authorizes D&S Automotive to perform any and all of the repair work to Customer's vehicle listed above ("Vehicle"), including all repair orders, supplemental repairs, and utilizing all necessary labor, parts and materials, and Customer authorizes D&S Automotive to operate the Vehicle for testing, moving, or pickup/delivery purposes. That during the process of repairing the Vehicle, that it is normal for the battery to be disconnected which may result in loss of radio station or other memory presets, and that in certain situations Customer is responsible to have the Vehicle's collision avoidance system recalibrated at the dealership from which Customer purchased the Vehicle. In order to better serve you and expedite the repair to your vehicle, your vehicle may be transported to one of our other certified collision center locations. D&S Automotive will determine the method of transport based off the severity of the damage. The following methods may be used: Flatbed, wheel lift tow truck, or licensed and insured porters of D&S Automotive. Customer authorizes D&S to transport the Customer's vehicle listed above by the above methods for repair, and upon completion, transported back to the facility the vehicle was brought in at for you to pick up. Customer shall not incur any additional charges in the event load leveling is initiated or occurs during the course of service. If the repair work to the Vehicle is covered under any applicable insurance policy then, except for the deductible amount listed above, the above-referenced insurance company ("Insurance Company") shall be responsible for all payments to D&S Automotive; otherwise, Customer is fully responsible for the payments of any and all of D&S Automotive's fees, charges, expenses and invoices prior to Customer picking up the Vehicle ("Self-Pay"If hidden damages are discovered, then D&S Automotive must immediately stop work, notify the Insurance Company, and, if approved, await receipt of supplemental paperwork from the Insurance Company before any repair work can resume or supplemental work can commence. However, if this is a Self-Pay then then D&S Automotive must immediately stop work, notify Customer and await Customer approval before any repair work can resume or supplemental work can commence. D&S Automotive is not responsible for the availability of parts, for any delays in the performance of the repair work, for any loss or damage to the Vehicle or articles left in the Vehicle. In the event that D&S Automotive cannot repair the Vehicle, there will be a charge for any labor performed in regard to disassembling and estimating the damage. All charges for repairs MUST be paid to D&S Automotive when the Vehicle is ready for pickup/delivery. As such, D&S Automotive accepts Mastercard, Visa, Discover, and American Express credit cards, insurance checks, cashier checks, money orders, and cash. Customer expressly acknowledges that any estimate of repair charges is not a guarantee; actual charges may vary from estimates. Customer expressly acknowledge a mechanics lien on the Vehicle to secure the amount of the repairs to the vehicle, and agrees to pay reasonable attorney fees and court costs in the event legal action is necessary. Customer appoints D&S Automotive as Customer's attorney-in-fact on Customer's behalf and all of Customer's checks, drafts, or bills of exchange, and to endorse all such checks, drafts, or bills of exchange for deposit to D&S Automotive accounts, as credit or payment for repairs to the Vehicle.

  • Agreed, Acknowledged and Accepted By:

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  • Joseph M. Saponaro, Esq. 03012018

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  • Parts Procurement Delay Notice

  • Due to the current state of the economy and part shortages caused by a combination of tariffs and employment shortages, obtaining the parts needed to repair your vehicle may be delayed, causing longer repair times than normal. Prior to these challenges, parts procurement averaged 3-4 days, and unfortunately, now averages 27-30 days. Although the situation continues to evolve, D&S Automotive remains fully committed to completing your repair in a timely manner while still upholding the utmost of quality and customer service.

    Due to the part procurement delays we face, your repair may exceed the original estimated repair completion time. In some cases, this may also exceed your allotted rental policy. With that said, we are not responsible for the cost of additional rental days past your policy maximum. We understand the inconvenience in time and cost this may cause however, we want to inform you of the situation upfront.

    If additional rental costs do occur, we recommend that you reach out to your insurance agent and/or the manufacturer for your options regarding this matter.

    We will continue to explore all avenues available to us to avoid parts delays and ensure your vehicle is returned as quickly as possible. While not all claims are affected, we want to make sure you are aware of the current situation the industry is facing. We appreciate your understanding during these times

    Sincerely,

    D&S Automotive Management

    By signing, I acknowledge and understand the current situation regarding parts procurement.

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  • VEHICLE REPAIR AUTHORIZATION

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  • I choose and designate the above-referenced Repair Facility as listed to manage the repairs of my vehicle through completion.

    As my designee, the Repair Facility may:

    1. Complete repair work;

    2. Drive my vehicle and/or authorize the other repair facilities or insurance representatives to drive my vehicle for the purpose of pick-up, repairing, inspecting, testing and/or delivery;

    3. Coordinate, authorize and approve work that may be completed by other repair facilities as necessary to return my vehicle to its pre-loss condition.

    An estimate may be prepared based upon the use of one or more aftermarket crash parts supplied by a source other than the manufacturer of your motor vehicle. Warranties applicable to these aftermarket crash parts are provided by the parts manufacturer or distributor rather than by your own motor vehicle manufacturer.

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