Repair Authorization Form


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Little Germany
5235 E Speedway Blvd
Tucson, AZ 85712
(520) 881-3273

Repair Authorization Form


I hereby authorize repair work listed herein, including sublet work, to be done along with necessary materials to be listed.  You and your employees may operate the described vehicle for the purposes of testing, inspection or delivery at my risk. I agree to pay cash on delivery or on satisfactory terms to you, until paid in full it shall constitute mechanics lien. I further agree that you will not be held responsible for loss or damage to vehicle or articles left in vehicle or in case of fire, theft, accident or other cause beyond your control. Customer agrees to pay all collection costs and/or attorney’s fees in the event that default is made in any payment due or past due account.  Interest at one and one-half percent (1½%) per month on all past due accounts.  If vehicle is returned to customer without repair service being performed, a diagnostic and handling fee (including reassembly) may be charged.  I have read and understand the above and agree to these terms.

** REPLACED PARTS ARE TO BE DISCARDED UNLESS OTHERWISE INSTRUCTED **

** TERMS: CASH OR ACCEPTED CREDIT CARD **

** VEHICLES LEFT HERE 10 DAYS AFTER REPAIRS FINISHED WILL BE CHARGED $15.00 A DAY STORAGE **

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Signature Certificate
Document name: Repair Authorization Form
Unique Document ID: a0d86bde4f6aa56414670ef1808bb756c8bc01e4
Timestamp Audit
December 13, 2019 9:54 pm MSTRepair Authorization Form Uploaded by Little Germany - service@littlegermanytucson.com IP 72.217.53.241