Customer signing a repair authorization on a tablet in a service bay

Forms, Affidavits & Waivers

AI Repair Authorization Form

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A ready-to-use authorization form set

Repair Authorization Form scroll to preview

Section 1 - Shop and Customer Identification

Shop: [[Shop Name]] Address: [[Shop Address]] Phone: [[Shop Phone]]

Customer: [[Customer Full Legal Name]] Phone: [[Customer Phone]] Email: [[Customer Email]]

Section 2 - Vehicle Identification

Year/Make/Model: [[Vehicle Year Make Model]] VIN: [[VIN]] Odometer at Drop-Off: [[Odometer Reading]] miles

Section 3 - Written Estimate

Line Item	Description	Estimated Cost
1	[[Repair Item 1 Description]]	$[[Estimated Cost 1]]
2	[[Repair Item 2 Description]]	$[[Estimated Cost 2]]
Total Estimate		$[[Total Estimated Cost]]

Diagnostic/Teardown Fee (if applicable): $[[Diagnostic Fee Amount]] - due whether or not repairs are authorized: [ ] Yes [ ] Waived if repair authorized

Section 4 - Authorization

I, the undersigned customer, authorize [[Shop Name]] to perform the repairs described above.

Overage tolerance: Shop will not exceed the estimate by more than [[Overage Percent - e.g. 10]]% without obtaining my prior verbal or written consent. If additional repairs are discovered, shop will contact me at [[Customer Phone]] before proceeding.

Customer Signature: ___________________________ Date: [[Authorization Date]]

Section 5 - Old Parts Return

[ ] Customer requests return of all replaced parts.
[ ] Customer declines return of replaced parts (shop may dispose of or recycle per standard practice, except warranty-core-return parts).

Section 6 - Declined Repairs

The following recommended repairs were declined by the customer at this time: [[Declined Repair 1 - or "None"]], [[Declined Repair 2 - or "None"]]. Customer acknowledges these items were not addressed and assumes associated risk.

Section 7 - Storage and Lien Notice

If completed repairs are not paid for and the vehicle is not picked up within [[Storage Grace Period - e.g. 10]] days of notice, the shop may impose a storage fee of $[[Daily Storage Fee]]/day and may place a mechanic's lien on the vehicle under applicable state law, up to and including sale of the vehicle to satisfy the unpaid balance.

Section 8 - Warranty on Repairs

Shop warrants parts and labor for [[Warranty Period - e.g. "12 months / 12,000 miles"]] from the date of completion, covering [[Warranty Coverage Scope]]. Warranty does not cover pre-existing conditions unrelated to the authorized repair or damage from subsequent collision/misuse.

Section 9 - Payment

Estimated total due at pickup: $[[Total Estimated Cost]] (subject to the overage tolerance above). Accepted payment methods: [[Accepted Payment Methods]].

Section 10 - Signatures

Customer Signature: ___________________________ Date: [[Date]]

Shop Representative Signature: ___________________________ Date: [[Date]]

> ⚠️ Template example - not professional (legal) advice. Written-estimate rules, overage caps, and lien procedures vary by state automotive-repair statutes (e.g., California's Auto Repair Act) - verify current requirements with your state's regulatory body before use. Current as of June 2026.

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How it works.

Repair Authorization Form: provide shop services, estimate process, policies and get a complete authorization form set in minutes - including estimate approval thresholds, supplemental authorization, storage fees. Free AI workflow, no signup required to preview.

Signed work order form on a clipboard resting on a car hood — Read the odometer exactly as displayed — no rounding, no estimates.

Hands typing on a laptop at a dealership desk beside car keys and a document folder

What you provide

Draft my ready-to-use authorization form set

Stacked contract pages and a certificate of title on a dark desk with a pen

Repair authorization meeting state automotive-repair-act disclosure requirements.

Format & standard

What good looks like.

Compliance clerk reviewing a checklist on a clipboard beside stacked document folders

Compliance review

Every disclosure gets checked before the title leaves the desk.

What it must include

Criteria

01Vehicle and customer identification
02Description of authorized repairs and estimate
03Written-estimate and authorization-before-work requirement
04Tolerance for overage (e.g., not to exceed estimate by >10% without consent)
05Teardown/diagnostic fee disclosure
06Old-parts return option
07Storage and lien-for-unpaid-repairs notice
08Warranty on work
09Declined-repairs acknowledgment
10Signature.

Signals of expertise

Quality

★References state auto-repair-act requirements (written estimate, authorization, % overage cap, return of old parts) like CA BAR rules
★Includes mechanic's-lien/storage-fee notice for unpaid work.

Common mistakes

Pitfalls

×No written-estimate/overage-cap compliance
×Missing old-parts and declined-repairs options
×No lien/storage notice.