AUTHORIZATION TO REPAIR AND DISCLAIMER


I, THE UNDERSIGNED, AGREE TO THE FOLLOWING AGREEMENT/DISCLAIMER
 
I AUTHORIZE THE COMMENCEMENT OF WORK ON THE VEHICLE HEREIN BELOW DESCRIBED, INCLUDING ANY RELATED HIDDEN DAMAGE NOT APPARENT ON THE ORIGINAL INSPECTION. I UNDERSTAND ANY ESTIMATE PROVIDED BY FREEDOM COLLISION CENTER IS SUBJECT TO CHANGE AFTER TEAR DOWN AND DURING THE REPAIR PROCESS, AS ADDITIONAL DAMAGE MAY BE FOUND. I ALSO UNDERSTAND THAT REPLACEMENT PARTS OTHER THAN ORIGINAL EQUIPMENT MANUFACTURE PARTS MAY BE USED IN ACCORDANCE WITH STATE LAW AND THE NAMED INSURANCE POLICY.
 
I AUTHORIZE FREEDOM COLLISION CENTER TO DRIVE (OR HAVE TOWED) THE VEHICLE TO NEARBY REPAIR SHOPS AND DEALERSHIPS, AND TO PERFORM NECCESARY TEST DRIVES TO FACILITATE THE COMPLETION OF REPAIRS. IN ADDITION, VEHICLES THAT REQUIRE FUELING TO COMPLETE NECESSARY TRAVEL WILL RESULT IN ADDITIONAL CHARGES TO THE UNDERSIGNED AT CURRENT MARKET VALUE.
 
I AGREE THE VEHICLE SHALL BE FREE OF VALUABLES DURING THE REPAIR PROCESS, AND IF THE VEHICLE IS TOWED IN I WILL COME WITHIN 24 BUSINESS HOURS TO REMOVE SAID ITEMS FROM THE VEHICLE. FREEDOM COLLISION CENTER IS NOT RESPONSIBLE FOR LOSS OR DAMAGE TO THE VEHICLE OR ARTICLES LEFT IN THE VEHICLE AS A RESULT OF FIRE, THEFT, OR ANY  OTHER CAUSE BEYOND RESONABLE CONTROL. ADDITIONALLY, ANY ITEMS THAT MUST BE REMOVED BY FREEDOM COLLISION CENTER AND STORED TO COMPLETE REPAIRS WILL RESULT IN CHARGES BASED ON CURRENT LABOR RATES.
 
I UNDERSTAND THAT ANY ESTIMATED COMPLETION DATE (ECD, PROMISE DATE) GIVEN BY FREEDOM COLLISION CENTER IS BASED ON CURRENT INFORMATION. THESE DATES CAN, AND LIKELY WILL, CHANGE DURING THE REPAIR PROCESS AS ADDITIONAL DAMAGE AND INFORMATION IS DISCOVERED. I FURTHER AGREE FREEDOM COLLISION CENTER WILL NOT BE HELD RESPONSIBLE FOR COMPLETION DATE CHANGES.
 
I AM RESPONSIBLE FOR ANY SELF-PAY, PRE-PAYMENTS, AND DEDUCTIBLES THAT ARE PART OF MY CLAIM AND AUTHORIZE THE NAMED INSURANCE COMPANY TO PAY FREEDOM COLLISION CENTER DIRECTLY ON THE ASSOCIATED CLAIM(S) WITH THIS REPAIR IN THE TOTAL FINALIZED AGREED UPON AMOUNT. IN THE EVENT THE INSURANCE COMPANY MAILS ANY ORIGINAL, OR SUPPLEMENTAL, PAYMENTS TO THE UNDERSIGNED IN ERROR,OR INTENTIONALLY, THAT PAYMENT WILL BE OWED TO FREEDOM COLLISION CENTER AT TIME OF VEHICLE DELIVERY. IN THE EVENT ANY PAYMENT IS RECEIVED AFTER REPAIR COMPLETION I SHALL NOTIFY FREEDOM COLLISION CENTER IMMEDIATELY AS WELL AS DELIVER ANY PAYMENTS RECIEVED POST REPAIRS WITHIN 24HRS OF RECEIPT.

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Document name: AUTHORIZATION TO REPAIR AND DISCLAIMER
lock iconUnique Document ID: a1195d7611b47c4fe80af58ae0bc4fdb6f36608e
Timestamp Audit
May 16, 2023 3:57 pm EDTAUTHORIZATION TO REPAIR AND DISCLAIMER Uploaded by John Highlander - jhighlander@fccwv.com IP 108.39.155.75
June 6, 2023 11:07 am EDTFreedom Collision - contact@freedomcollisioncenterwv.com added by John Highlander - jhighlander@fccwv.com as a CC'd Recipient Ip: 108.39.155.75
June 6, 2023 11:10 am EDTFreedom Collision - contact@freedomcollisioncenterwv.com added by John Highlander - jhighlander@fccwv.com as a CC'd Recipient Ip: 108.39.155.75