Work Authorization Form

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

Work Authorization

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 understand that the order does not include the cost of the repairs and parts which were not evident until the work commences and that the prices for the parts are subject to increase if the actual cost exceeds the manual 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: 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 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