Mobile Auto Repair Authorization
Customer Information
Name
Phone
Address
Vehicle Information
Make
Model
Year
VIN
License Plate
Service Details
Description of Service/Repairs
Estimate Amount
Date
Authorization
I hereby authorize the above repair work to be done. I understand the shop is not responsible for loss or damage to vehicle, or articles left in vehicle, in case of fire, theft, or any other cause beyond the shop's control.
Customer Signature
Date Signed