550 I-10 STE 101
Beaumont, TX 77707
Ph) 409-842-2324

Vehicle Repair Authorization

We've made it fast and easy to authorize repairs to your vehicle online saving you a trip to our shop and getting you back on the road fast.
Complete the form below to complete your repair authorization.

Customer Information
Vehicle & Insurance Information
Do you have wheel locks or a storage compartment key in your glove box or center console?
Is there a lienholder that is required to endorse any insurance check?
Clicking the boxes indicates you have read and agree to the following statement(s):

Collision & Classics is not responsible for loss or damage to vehicles, articles, or personal property left in vehicles, not from losses from fire, theft, natural disasters or any other cause beyond our control. Please remove all personal belongings from your vehicle.

No car will be released until full payment is made. Deductible and insurance check or proof of loss must be received before vehicle will be released. Be certain all payee’s (including lien holders) have endorsed the insurance check prior to completion of repairs.
Vehicles that have sustained extensive damage could require more time to repair and exceed your rental coverage. Collision & Classics will not be responsible for any rental expense in the event this occurs.
NOTICE PURSUANT TO SECTION 70.001, TEXAS PROPERTY CODE Customer understands that this vehicle is subject to repossession in accordance with Section 9.609, Texas Business & Commerce Code, IF A CHECK, MONEY ORDER OR A CREDIT CARD TRANSACTION ON WHICH PAYMENTS IS STOPPED, HAS BEEN DISHONERED BECAUSE OF INSUFFICIENT FUNDS, NO FUNDS OR BECAUSE THE DRAWER OR MAKER OF THE ORDER OR THE CREDIT CARD HOLDER HAS NO ACCOUNT OR THE ACCOUNT UPON WHICH IT WAS DRAWN OR THE CREDIT CARD ACCOUNT HAS BEEN CLOSED.

I have read and agree to the Terms and Conditions.
Known all men by these presents; that I (or we) the undersigned , do hereby and constitute and appoint Collision & Classics as my (or our) true and lawful agent and attorney-in-fact to endorse in name, place and stead of the undersigned on the check or draft issued by above insurance company to cover all or part of repairs to my (or our) vehicle which are authorized by me (or us) in whatever manner is necessary to negotiate such check or draft for the purpose of paying for such repairs or partial repairs. I (or we) hereby ratify and confirm whatever action said agent and attorney in fact my take in such regard by virtue hereof.

I authorize Collision & Classics to complete estimated repair work to be done along with the necessary materials. And hereby grant you, and/or your employees’ permission to operate the vehicle herein described on streets, highways or elsewhere for the purpose of completing repairs, testing and/or inspection. An express mechanic's lien is hereby acknowledged on above vehicle to secure the amount of repairs thereto.
Authorization to Access Vehicle Data: I understand that modern vehicles are complex, and that electronic data recorded in vehicle systems may help to diagnose necessary repairs and to confirm that applicable systems are functional after repairs are performed. I authorize Collision & Classics to access this data as part of the diagnostic and repair process and to incur such additional charges on my behalf and for which I shall be responsible.

In the event of the insurance company processing repairs reject payment for repair scans and necessary calibrations to your vehicle as per manufacturer guidelines, these repair scans and calibrations are required and will be paid by the vehicle owner to Collision & Classics.
Collision & Classics IS NOT RESPONSIBLE FOR ANY ITEMS LEFT IN VEHICLE SUCH AS: AMPS, CDS, PHONES, STEREO RECEIVERS, SPEAKER COMPONENTS, ETC ... AND WE ASK THAT YOU REMOVE THESE ITEMS FROM YOUR VEHICLE FOR YOUR SAFETY AND CONVENIENCE. DUE TO THE EXTREME HEAT DURING THE PAINTING PROCESS CURING CYCLE, WE ASK THAT YOU REMOVE ALL MAKE-UP, AEROSOL CANS, CANDY, CRAYONS AND/OR ANY ITEMS THAT WOULD MELT IN THE CURING PROCESS.
Collision & Classics IS NOT RESPONSIBLE FOR CRACKS/BREAKAGE OF WINDSHIELD(S) OR DOOR GLASS BREAKAGE AS MAY OCCUR DUE TO THE HIGH HEAT REQUIREMENT OF THE PAINT CURING PROCESS.
ALL WEAPONS/AMMUNITION OF ANY KIND MUST BE REMOVED FROM THE VEHICLE.

I, the client, hereby authorize Collision & Classics hereinafter called (The Company) to make any and all repairs necessary on the above said vehicle. I agree that Collision & Classics, its employees, representatives, officers, or agents are not responsible for any loss or damage to any and all items left in said vehicle for any reason, or for any other loss or damage that may occur, or be caused beyond The Company's control, including any delays caused by the unavailability of parts or delays in part shipments by the supplier or transporter. I hereby grant The Company, and its employees permission to operate the said vehicle herein described on streets, highways, or elsewhere for the purpose of testing and/or inspection.
I am the Owner of the vehicle, or an agent action on behalf of the owner, and client, who is obligated to pay for the repair of the above said vehicle.
The undersigned, hereafter called "Owner, Insured, Claimant, Agent, or Representative," for the consideration of repairs made to the above said vehicle, does hereby grant to said Collision & Classics Power of Attorney to sign or endorse any checks and/or drafts made payable to Owner, Insured, Claimant, Agent, or Representative and any releases thereto, as settlement of claims for damages to the above said vehicle.

Collision & Classics CHARGES A 3.5% FEE ON ALL CREDIT CARD/DEBIT CARD TRANSACTIONS. PLEASE NOTE, YOU WILL STILL HAVE THE OPTION TO PAY BY CHECK, CASH OR MONEY ORDER WITHOUT A TRANSACTION FEE.
THIS ONLINE AUTHORIZATION CONSTITUTES A WRITTEN AGREEMENT AND REPRESENTS THE FINAL AGREEMENT BETWEEN THE PARTIES AND MAY NOT BE CONTRADICTED BY EVIDENCE OF PRIOR, CONTEMPORANEOUS, OR SUBSEQUENT ORAL AGREEMENTS OF THE PARTIES. THERE ARE NO UNWRITTEN ORAL AGREEMENTS BETWEEN THE PARTIES.
By using this service, you agree that Collision & Classics may text you at the number provided. Message and data rates may apply.
By drawing your signature in the space provided above, and clicking the "complete authorization" button, you are consenting to use electronic records and signatures in connection with this transaction, confirming your name displayed above is correct and you understand and agree to the statements above as well as our Terms and Conditions for Use in Document Executions. Your electronic signature will be just as enforceable as signing the same document using a handwritten signature.
Digital Signature: 3137322e37302e33342e313331
IP Address: 172.70.34.131 User Agent: CCBot/2.0 (https://commoncrawl.org/faq/)