Luciano's Auto Body Authorization To Repair
Includes insurance direction to pay
Choose location where you vehicle is being repaired.
Altoona 1600 Pleasent Vally Blvd.
Altoona @ Dean Pattersons
Johnstown
Huntingdon
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Name
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First Name
Last Name
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Area Code
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Email
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example@example.com
Insurance Company Handling my claim
Claim number given by insurance company
Please Read
The Estimate of Repair includes parts, labor , diagnosis, and any applicable taxes. If, on further inspection, additional parts or repairs are needed, you give us your authorization to perform needed repairs to return you vehicle to it's pre-accident condition. We are not responsible for loss or damage to your vehicle from fire, theft, accidents or any cause beyond our control. All tests will be made by our employees at your risk. I hereby give Luciano's Auto Body permission to do the necessary repairs to my vehicle as they see fit. If for any reason the vehicle is left and not repaired, I agree to pay a daily storage fee. If you choose not to have the vehicle repaired after parts are ordered, you agree to any restocking fees that may apply, and also that some parts are not returnable. I also understand and approve of the use of aftermarket,recycled(LKQ) and/or reconditioned parts as per my insurance company guidelines. If I insist on using only O.E.M parts I will be responsible for the difference in price between the aftermarket and O.E.M.. And must submit in writing my intentions before repairs can start on my vehicle. If vehicle is returned to customer before authorized repairs are performed, a diagnostic and handling charge, including reassembly, will be made.
Authorization to Repair
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I do herby appoint Luciano's Auto Body Inc. as my attorney in fact to accept on my behalf any and all checks, drafts, or bills of exchange for deposit to the aforementioned business account for credit on my account for repairs on my vehicle which has been released and accepted.
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A 3.8% customer service sharge is applied to all store sales. As an incentive for customers we now provide a discount to pay with cash or check by giving a 3.8% immediate discount on the service charge.
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