← Back
Work Authorization

Repair Authorization

Please complete this form before vehicle drop-off or repair authorization.

01Customer Representative

Required

02Customer Information

Required
Required
Required
Required
Required
Required
Required

03Vehicle Information

Required
Required
Required
Required
Required
Required
Required

04Insurance Information

Required
Required
Required
Required
Required
Required

05Rental Information (if applicable)

06Damage Notes

Required

07Authorization

I acknowledge that estimates are subject to change and may increase upon further inspection. If I choose not to complete repairs with Chosen Customs, I understand an inspection and admin fee may apply.

I hereby authorize the complete repair of my vehicle by Chosen Customs, once approved by my insurance provider. I understand and agree:

  • Chosen Customs is not liable for loss or damage to the vehicle or any items inside it due to theft, fire, natural disaster, or other causes beyond its control.
  • I grant permission to Chosen Customs and its employees to operate, test, deliver, inspect, and transport my vehicle as necessary.
  • Chosen Customs is not responsible for any damage that may occur during transportation or movement of the vehicle for bodywork or service-related tasks.
  • Additional damage may be discovered after teardown, and I authorize Chosen Customs to request insurance supplements as needed. Repairs will not proceed without appropriate authorization.
  • If parts listed in the estimate are not available or can be repaired safely, I agree that Chosen Customs is to be paid in full for all repairs prior to the release of the vehicle.
  • Insurance companies may issue payment directly to the vehicle owner. In such cases, I agree to immediately remit full payment to Chosen Customs upon receipt of any insurance funds, including initial and supplemental payments. I further agree that:
    • Chosen Customs retains possession of the vehicle until full payment is received.
    • No vehicle will be released without full settlement of the repair invoice.
    • Delays in payment from me or my insurance do not obligate Chosen Customs to release the vehicle.
    • Storage fees may apply after completion of repairs if payment has not been made.
    • I remain fully responsible for the total cost of repairs regardless of insurance coverage, delays, or disputes.
Sign here with your finger
Required