Work Authorization Form

J&E Auto Body
1183 Raritan Road
Clark NJ 07066
License Number 00090A

I authorize you to make the repairs and supply the parts set forth, subject to the availability and delay of parts and to operate
the vehicle for testing and inspection purpose. I authorize you to perform the dismantling of the vehicle as needed to ascertain
the sustained damages and to prepare a written assessment of the damages. I understand that the dismantling is an element of
the repair process. I understand that todays advanced technologies often require additional research to determine mandates
and recommendations to ensure repairs are performed that will restore my vehicle to it’s pre loss condition in safety,
appearance, and function and I hereby authorize such activities and their associated costs. I further grant your staff and sublet
vendors permission to operate the vehicle for inspection, estimating, repairs, or testing. I also agree that you in your discretion
charge a mark up for any subcontractor work.
The insurer may furnish an estimation of costs. I understand this document is not binding on you, who is tasked with
determining the proper methodology and final cost to repair. I understand I will be informed by you of any deficiencies by the
insurer’s reimbursement for customary or needed repair procedures or deficiencies that will prevent the vehicle from being
restored to its pre-accident condition in safety, function, appearance and value, to the best of reasonable human ability. It is
further understood and agreed that this contract of repair hereby entered into by the undersigned with J&E Auto Body may not
be assigned or transferred to any other parties or persons without the specific written consent of J&E Auto Body.
I understand by this document that all charges must be paid in full before the vehicle’s ownership can be transferred or the
vehicle can be removed/released.
I understand that the order does not include the cost of repairs and parts which were not evident until the work commences
and that the price for the parts are subject to increase if the price exceeds the price on which the work order was based. You
are authorized to discard all parts removed from the vehicle unless I make written request to receive all replacement parts. You
will not be responsible for loss or damage to the vehicle or articles left in the vehicle, in case of fire, theft or other causes
beyond your control.
The customer has the right to inspect replaced parts and components of this repair work within forty-eight (48) hours from the
time the customer was informed by the auto body repair facility that the repairs to the vehicle have been completed. The
customer or insurer has the right to inspect the repaired vehicle before paying for the repairs. This repair shall be in addition to
the inspection of repairs or replaced parts. I should pay for the work in full when the vehicle is ready for delivery and I grant
you a lien on the vehicle to take possession of the vehicle without due process of the law where ever it may be found and
affords you the right and remedies in the uniform commercial code. I further agree to pay reasonable attorney fees and court
costs in the event that legal action becomes necessary to enforce this contract.

Terms: Procuring payment from another party, if applicable, will be the responsibility of the undersigned. However J&E Auto
body will assist whenever reasonably possible to expedite the process. The total amount of the repair charges must be paid
before the vehicle can be released for delivery. If insurance coverage is to be applied against partial or total payment I
acknowledge that the insurance check/draft must be obtained by myself or sent in advance by the insurance company prior to
release of the repair vehicle.
I also give consent to J&E Auto Body to extract data that is stored in the vehicle, including it's event data recorder, prior to
conducting any scanning or diagnostics operation. J&E agrees that access to such data will be for the limited purpose of
conducting vehicle diagnostics and/or repairs.

Fax 732-574-3470