NEW IMAGE PAINT & BODY REPAIR AUTHORIZATION FORM
Payment Policy: I understand that NIPB accepts Original Insurance Checks(please provide this at time of drop off if available, or bring it in within 24 hours of receiving the check)Cashier's Checks, Cash(exact change only), Debit Cards, Visa, Master Card, and Discover.
Credit/Debit card payments will be charged a 3% processing fee. Personal checks up to $1000.00 will be accepted. Payments from 3rd parties are not accepted.
If a 3rd party is paying for my repair, it is my responsibility to collect payment from them. My vehicle will not be released until payment is made in full, or New Image has received verification from an insurance company that payment is being sent directly to them.
Estimates are prepared based on visual damages only. If hidden or additional damage is found, a supplemental bill will be created and whoever is responsible for payment will be contacted. All Parts prices are subject to invoice.
I understand that NIPB's final invoice for repairs of my vehicle may not match that of the insurance company's estimate as to parts, labor or procedures used to repair my vehicle. I understand that parts prices are based upon recent Estimating Software; however, prices may vary due to supplier costs. I understand that repair techniques employed are based upon NIPB's judgement as to the best means of effecting a high quality repair, and that NIPB labor charges are based upon hourly time allowances as given in the collision repair industry estimating software, and their experience, and may be more or less than the actual time. Any differences that would affect total repair costs will be discussed with me or my insurance company beforehand.
NIPB will do its best to prevent delays in the repair of your vehicle, however, it is important to understand that parts and insurance delays are sometimes beyond our control and we can not be responsible for them. NIPB will not be responsible for any rental car charges you may incur. We will keep you informed as the repair process goes along so that you are aware of any possible delays.
I hereby authorize the repair work to be done along with the necessary material, and herby grant you/your employees and sublet vendors permission to operate the vehicle herein described on streets, highways, or elsewhere for the purpose of testing/inspecting. An express mechanics lien is hereby acknowledged on the above vehicle to secure the amount of repairs thereto. New Image Paint & Body, LLC(NIPB) is not responsible for the loss, or damage to the vehicle, or articles left in the vehicle in case of fire, theft, or any cause beyond their control.
NIPB is fully authorized to negotiate, endorse, and deposit any checks or drafts in my name that are received by or on my behalf in connection with the repair of my vehicle. The repair shop is authorized to act as my representative with the parties responsible for payment.
BY CLICKING SUBMIT I AM DIGITALLY SIGNING THIS FORM AND GIVING AUTHORIZATION AND POWER OF ATTORNEY TO NEW IMAGE PAINT & BODY AS STATED FORTH IN THIS DOCUMENT.