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  • Lennox Auto Body

    Authorization for Repair

  • Customer Information:

  • Vehicle

  • Lennox Enterprises, Inc., AKA Lennox Auto Body, can only estimate, not promise a completion time. All deductibles, customer paid repairs, betterments, and insurance repairs must be paid IN FULL prior to any vehicle being released. Lennox Auto Body warranties all workmanship and paint. Rust warranty: one year from the date of delivery only when complete panels have been replaced.

    A 20% restocking fee will be collected on any job not cancelled two weeks prior to repairs. All replacement parts are to be paid in full at time of scheduling for any customer pay work. All part prices are subject to change, any changes will be reflected on the final bill.

    While not common, occasionally an insurance company will not pay the full amount to restore a vehicle to its pre-accident condition. In these circumstances the difference becomes the responsibility of the policy holder. 

    In addition, please understand that:

    • The vehicle may need to be driven off the premises for additional repairs or sublet work.
    • Lennox Auto Body is NOT responsible for any lost or missing items. Please have all valuables removed from the vehicle before drop off.
    • Lennox Auto Body is NOT resposible for natural disasters/acts of God. We cannot guarantee that all cars will be parked indoors during inclement weather.

    By signing this document I acknowledge I have read and I understand the above statements and I authorize Lennox Auto Body to order parts and repair my vehicle.

  • Please read and check the following:
  • Signature*
  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • By signing this form electronically you agree your electronic signature is the legal equivalent of your manual signature on this Form.
    By electonically signing you consent to be legally bound by this Form.

  • Do you need to fill out a Direction to Pay? (Required for any jobs being paid or partially paid by an insurance company)*
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  • Lennox Auto Body

    Direction To Pay

  • Please read the following statement. If you have your insurance and claim information you may fill it in, if not they may be left blank. We will fill out any blank information as well as the cost of repairs when we have the final total.
  • Signature*
  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • By signing this form electronically you agree your electronic signature is the legal equivalent of your manual signature on this Form.
    By electonically signing you consent to be legally bound by this Form.

  • Thank you for your business and we look forward to providing 
    you an excellent experience at Lennox Auto Body!

    If you have any questions, please give us a call at (307) 634-6608.

    Please press the submit button below to submit your forms. 

     

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