Repair Authorization Form

The following questions are being asked with the intention of making sure the repair process and delivery of the completed vehicle go as smoothly as possible.

IMPORTANT NOTE: For any amount you will be paying for yourself, including deductibles, we accept the following forms of payment:

• Cash
• VISA
• MasterCard
• Discover
• Debit Card
• Cashier's Check
• Money Order

Authorization Form & Direction of Pay

I hereby authorize Tracy's Collision Center to make specified repairs. I understand that full payment will be due upon release of the vehicle, including additional supplemental damage charges. I hereby grant Tracy's Collision Center employees permission to operate the vehicle on streets, highways or elsewhere for the purposes of testing and/or inspection. An express mechanics lien is hereby acknowledged on the vehicle to secure the number of repairs thereto.

Tracy's Collision Center will dispose of old parts removed from the vehicle unless otherwise instructed. Tracy's Collision Center will not be held liable for loss or damage to vehicle or articles left in the vehicle in the case of fire, theft, accident, or any other cause not due to the negligence of Tracy's Collision Center or its employees.

Power of Attorney

I do herby appoint Tracy's Collision Center to act as power of attorney in fact to accept on my behalf all checks, drafts, or bills of exchange, and to endorse all such checks, drafts, bills of exchange for deposit to Tracy’s Collision Center account for credit on my account for repairs to my vehicle. I authorize any and all supplemental charges to be made payable to Tracy's Collision Center.

Vehicle Release Policy

• All repairs must be paid in full prior to vehicle release (Unless prior arrangements have been made)
• We accept: Cash, All Major Credit Cards Except American Express, Debit Card, Money Orders, Cashier's Checks.
• All Deductibles are payable to Tracy's Collision Center.
• Multiple party checks MUST be endorsed by all parties.

Pre and Post-Repair Diagnostic Scan Work Authorization

This diagnostic work authorization form grants Tracy's Collision Center permission to perform a pre and post-repair diagnostic scan on your vehicle as part of the repair process. By accepting this procedure, you acknowledge the terms and conditions listed below. If you choose to decline this procedure, you acknowledge the repair shop will not be held liable for problems with the vehicle that cannot be detected without proper diagnostic scans.

Definitions:

Pre-Repair Diagnostic Scan: This is a complete health check of your vehicle and provides the repair shop (and insurance company, if applicable) a complete report on the number of computer modules on board, as well as any Diagnostic Trouble Codes (DTC's) that could indicate pre-accident and/or accident related damage. This essential step eliminates unnecessary delays waiting for parts and/or additional insurance authorizations, and identifies issues with the vehicle that could be missed without a pre-repair diagnostic scan.

Post-Repair Diagnostic Scan: This step ensures that all systems on your vehicle are in proper working order prior to delivery. It is important to note that the majority of DTC's do not result in a malfunction indicator lamp (dashboard light). Failure to perform a post-repair scan by trained professionals with factory scan tools significantly increases the risk that your vehicle may be returned with malfunctioning, or inoperable, safety and convenience systems. A post-repair diagnostic scan is the single best way to ensure that your vehicle is retuned to pre-incident condition.

Authorization to Disclose:

In the process of performing a diagnostic scan, Tracy's Collision Center will collect important historical vehicle data, including in some cases, the date, time and mileage of when a DTC was created. This information is helpful in understanding if a problem is accident related or pre-existing. It is possible this information will be shared with your insurance.company. Your acceptance of this procedure grants Tracy's Collision Center permission to share this information with others, including your insurance company.

Disclaimers:

• Diagnosing vehicles has limitations. In some cases, modified vehicles may give false DTC's. Tracy's Collision Center and its employees cannot be responsible for omission or errors caused by the information provided, or not provided, by the customer.
• All work performed by Tracy's Collision Center will be in accordance with Original Equipment Manufacturer (OEM) specifications and defaults. This includes, but is not limited to, any repairs, calibrations, integrations, programming and set points as indicated by the OEM by way of their designated sources of such information. Tracy's Collision Center is not responsible for any damage that results from, or to, aftermarket parts, or modifications from OEM factory specifications.
• Variations between vehicles, according to the make model and trim level, may limit the information captured during a pre or post-repair diagnostic scan.
• Depending on the condition of the vehicle, and the extent of the damage, and other factors outside the control of Tracy's Collision Center, a factory scan tool may not see every system on the vehicle being scanned.
• Tracy's Collision Center is not responsible for any changes made to the vehicle after the vehicle leaves the shop.

While Tracy's Collision Center recommends a pre and post-repair scan on every vehicle, it is especially important to perform these functions on newer, highly optioned, heavily damaged vehicles. Failure to do so significantly increases the risk to the vehicle owner and occupants.