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Repair Authorization

  • I authorize the aformentioned business to estimate and repair my vehicle, unless it is an economic total loss. I have received (or will receive a copy of estimate when vehicle is complete) a copy of the initial and supplemental estimate(s). I hereby authorize my insurance company to make a direct payment to Jackson Collision Center LLC, for the repairs to my vehicle, per the initial estimate and supplemental charges.
    I do hereby appoint the aformentioned business as my attorney in fact to accept on my behalf any and all checks, drafts, or bills of exchange, and to endorese all such checks, drafts, bills or exchange for deposit to the aformentioned business' account for credit on my account for repairs on my vehicle which has been released and accepted.
    **Jackson Collision Center is not responsible for fire damage, theft, or any items left in vehicles.
    **All Paint and body work comes with a limited life time warranty. **I do hereby authorize the aformentioned business to drive my vehicle to have sublet repairs preformed.
  • Date Format: MM slash DD slash YYYY