Repair Authorization Form - Customer Pay

TAX ID 23-2915063

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REPAIR ESTIMATE DISCLOSURE

Estimates performed prior to disassembly of vehicle are not accurate due to the probability of hidden damage. Therefore, it is our procedure that accurate estimates of the cost to repair and the expected time to complete repairs, are not made until we have disassembled the area of damage to your vehicle. Note: After disassembly additional repairs and parts will cause delays.

Before dropping off your vehicle, please ensure it is washed and that all personal belongings are removed. Repairs will be on hold, and you will be notified to remove your belongings. Smitty’s is not responsible for any missing belongings left in the vehicle during the repair process. Additionally, Smitty’s is not liable for any damage caused by fire, theft, vandalism, or other incidents, whether occurring inside or outside the vehicle.

Employees of Smitty's and its sublet vendors may occasionally operate your vehicle for testing, moving, or pickup/delivery purposes. During the process of repair, it is normal for the battery to be disconnected which may result in memory presets.

Smitty’s labor rates are posted in the collision office. 

 

VEHICLE OPERATION & BATTERY DISCONNECT

Employees of Smitty's and its sublet vendors may operate your vehicle for testing, moving, or pickup/delivery purposes. During repairs, the vehicle battery may be disconnected which may result in loss of memory presets.

CANCELLATION AND WITHDRAWAL FEES – Once the repair authorization is signed by customer, parts will be ordered per the estimate. If Smitty's does not repair your vehicle, the customer is responsible for:

• Estimate fees
• Administrative processing fees
• Disassembly and estimating labor
• Parts and materials ordered
• Restocking fees
• Storage Charges
• Any other reasonable costs incurred related to the vehicle

SUPPLEMENTAL/ADDITIONAL DAMAGES - During the teardown process of repairing said vehicle additional damage may be found. Smitty’s will complete a supplement damage analysis.

 

 

PAYMENT POLICY -Vehicle owner accepts full financial responsibility for the cost of repairs.

Forms of Payment Accepted and Card Processing Convenience Fee:

• Cashier's checks, Money orders, Cash, ACH or Zelle.     
• A 2% convenience fee applies for processing of collision repair payments.  

Personal and Business Check Payments: Checks are accepted only if received 14 days prior to repair scheduled start date. Checks returned unpaid for any reason is subject to a $30 returned check fee due immediately. Payment must be made by Cash.

Customer Pay: A 50% deposit of the Estimate of Record is required no later than two weeks prior to the vehicle's schedule repair date. 

Third Party Pay: 100% of the Estimate of Record is due no later than two (2) weeks prior to the vehicle’s scheduled repair date. Please note that our agreement is exclusively with you, the vehicle owner, and not with any third-party payer. Smitty’s does not offer third-party billing. As the vehicle owner, it is your sole responsibility to obtain payment or reimbursement from third party. Smitty’s assumes no responsibility for any delays, denials, or nonpayment by third parties. All repair costs remain the full responsibility of the vehicle owner until payment has been received, verified, and cleared by Smitty’s. Any remaining balance must be paid in full at the time of vehicle delivery.

Change from Customer/Third Party Pay to Insurance Claim: If switching to insurance coverage after repairs begin:

• Administrative fee up to $250 may apply
• Customer responsible for any uncovered balance.
• This change will cause delays. 

Vehicle Completion:

• Vehicle must be picked up within 24 hours of completion notice unless otherwise arranged,
• After 3 days, storage fees apply at the posted daily rate.

Final Bill: All customer-responsible repair costs must be paid in full before the vehicle will be released. 

 

STORAGE FEES & INSURANCE BILLING ACKNOWLEDGMENT (IF APPLICABLE)

• Storage rate: $150.00 per day may apply if I decline repairs and choose to remove my vehicle from Smitty’s, leave the vehicle at Smitty’s after repairs are completed without prior arrangements for more than 3 days, or otherwise leave the vehicle on the property for an extended period without communication or notification.
• Additional administrative or handling fees may apply
• Customer remains responsible for any unpaid or denied charges
• Vehicle will not be released until all charges are paid in full.

RENTAL ACKNOWLEDGMENT: Smitty’s is not responsible for rental vehicle charges, regardless of who pays for the rental.

PHOTO/VIDEO DISCLOSURE: Smitty's may take photos/videos during the repair process and may use the photographs/videos for:

• Website
• Advertising
• Social Media
• Brochures or other marketing materials

Photos/videos become property of Smitty’s. No compensation will be provided. You release any claims related to their use.

Authorization

I have read the above paragraphs and I hereby authorize the repair to the above referenced vehicle as described in the estimate and acknowledge that I understand all the above.  Smitty's is not responsible for the security or condition of any personal property left in the vehicle. An express mechanics lien is hereby acknowledged on this vehicle to secure payment for the repairs performed.