AUTHORIZATION TO TOW AND EVALUATE DAMAGES

I, , do hereby authorize D & M Auto body to:

1) Tow or pick up my vehicle

2) Remove necessary parts for estimate

3) Evaluate damage

4) Create a written estimate of damages

5) Negotiate price to make repairs with insurance appraisers

Year:
MAKE:
MODEL:
VIN #:

I fully understand that there will be a charge imposed for these necessary services and storage fees if D & M Auto Body is not utilized to complete the repairs on my vehicle or if my vehicle is deemed a total loss. A mark up will also be added to any monies paid out by D & M Auto Body on your behalf.

Date :

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