Repair Authorization Form

We are unable to guarantee a completion date or time, due to the complex nature of the repair process. Therefore, we do not accept any liability for rental fees that exceed your insurance company limits. The estimated completion date is only an estimate based on the original damage.

Payment is due before any parts will be ordered. There is a 4% fee when using a debit or credit

Repair Authorization Form

This field is for validation purposes and should be left unchanged.
Name(Required)

Vehicle Description

I hereby authorize Jim Yarger’s Body Shop to repair my vehicle unless it is an economic total loss.(Required)
I allow Jim Yarger’s Body Shop to endorse any insurance checks on my behalf.(Required)
Clear Signature
Date(Required)