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First Name:
Year:
Last Name:
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Vin#:
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Claim #
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Date of Loss:
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Adjusters Name
 
I herby authorize Precise Auto Body to complete the necessary repairs to my vehicle. Precise Auto Body will provide me with an oral/written evaluation. I understand that payment in full is due upon release of the vehicle, including any supplement charges. I hereby grant you and/or your employees permission to operate my vehicle on streets, highways, or elswhere for the purpouse of testing, inspection or sublet repairs, and delivery or pick up. An Precise Auto Body Lien is hereby acknowledged on above vehicle to secure the amount of repairs thereto. I will not hold you responsible for loss or damage to vehicle or articles left in vehicle in case of fire, theft, accident or any other cause beyond your control. I authorize any and all supplements to be paid directly to Precise Auto Body.

 
 

Precise Auto Body 5610 Hollywood Blvd., Los Angeles, CA 90028 (323) 466-8900
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