Absolute Collision Work Authorization Form

2314 S. Post Road
Shelby, NC 28152
Phone:704-482-3616
Fax: 704-482-4391
947 West Main Street
Forest City, NC 28043

Phone: 828-382-8000
Fax: 828-382-3000
  • Work Authorization

    I hereby authorize the repair work that has been explained to me to be done along with the necessary materials.

    • I agree that Absolute Collision is not responsible for loss or damage to my vehicle or articles left in case of fire, theft, or any other cause beyond Absolute Collision's control for any delays due to the complexity of the repair process. Delays include but are not limited to: Hidden Damage, Parts Backorders, Shipping Delays, Authorization Of Repairs, Insurance Company Inspections or Re-Inspections, and/or Supplement Approval.
    • I here by grant you and/or your employees' permission to operate the vehicle herein described on street, highway, or elsewhere for the purpose of testing and/or inspection.
    • Absolute Collision cannot be held liable for any charges either incidental or incurred. Rental coverage issues and policy limits are set by the Insurance company and limits may be exceeded due to the repair process.
    • Old Parts removed from the vehicle will be disposed of unless otherwise instructed.
    • I understand that payment in full is required for the release of the vehicle and that no personal checks will be accepted.
    • I agree that Insurance Check(s) must be endorsed by all payees (including lienholders) prior to the vehicle being released.
    • An express mechanic's lien is hereby acknowledged on the vehicle to secure the amount of repairs thereto.
  • Date Format: MM slash DD slash YYYY
  • Direction of Pay

    I authorize the insurance company listed above to pay Absolute Collision directly for repairs to my vehicle and grant Absolute Collision power of attorney to receive and deposit any payments related to this claim.

  • Date Format: MM slash DD slash YYYY
Get a printable version

Get Back On The Road – Faster.

Save time and hassle and complete our on free online estimate.