New York State Repair Shop Registration 7021340
I have read the itemized account of damages or have discussed the repairs necessary with a representative of Patterson Auto Body and authorize the repair of the vehicle noted. I also authorize Patterson Auto Body to repair any additional hidden damage Patterson Auto Body may find during the repair process of the above noted vehicle. I realize the need to share from my vehicle any and all shared data with any and all parties involved with the repair and or payment and I am allowing this to be done.
As it is my right according to Section 216.7 of New York State Insurance Law to use the total amount of my insurance claim settlement as I wish, I authorize the following: In event of deficiencies in labor rate, amount of labor hours or necessary procedures not covered in my insurance settlement, I authorize Patterson Auto Body to use its professional judgment as to the parts replacement and or labor charges to produce the highest quality repair at Patterson Auto Body posted labor rates. I understand that Patterson Auto Body's final invoice for repairs of my vehicle may not match that of the insurance company's estimate as to parts, labor or procedures used to repair my vehicle. I understand that parts prices are based upon recent motor guides, but may vary from prices listed due to currency fluctuation or varying supplier costs. I understand that repair techniques employed are based on Patterson Auto Body's judgment as to the best means of effecting a high quality repair and that Patterson Auto Body's labor charges are based upon hourly time allowances as given in the industry flat rate manuals, and their experience, and may be more or less than the amount of actual time. I understand that all Patterson Auto Body's estimates and final invoices are based on flat rate hours as is customary in the industry, not actual time spent on repairs. I understand that a flat rate hour is a unit of time given for a certain repair operation and that actual time spent on a repair operation can vary greatly from the flat rate time given to a labor procedure depending on technician experience and equipment employed.
Permission is hereby granted to perform diagnostic and road testing of the vehicle on local highways and streets. Patterson Auto Body is not responsible for loss or damages to vehicle or its contents due to fire, earthquake, theft or any other cause beyond Patterson Auto Body control. All repairs must be paid in full before release of the vehicle, via properly endorsed insurance check, bank check, certified check, credit card/debit with 3% added, or cash. Vehicles on Patterson Auto Body premises not under repair are subject to $80.00 outside or $500.00 inside storage fee per day. This includes vehicles deemed to be a total loss by insurance companies, vehicles estimated but not subsequently repaired by Patterson Auto Body, or vehicles left more than seven days after completion of repairs. Money paid out to cover towing, storage or sublet charges to other companies by Patterson Auto Body may be subject to reasonable mark up charges. Vehicles towed or driven in, then deemed a total loss, or moved to another location for any reason by customer or Insurance Company may be subject to admin, lot, debris cleanup charges or estimate fees. Any labor, towing or lift inspection fees must be paid before a vehicle leaves Patterson Auto Body. Prior written notice must be given if return of used or damaged parts is desired by customer. All parts installed are OEM unless specified otherwise.
In the event that an insurance carrier is paying for all or part of my repair cost, I authorize payment to Patterson Auto Body, Inc., and its affiliated companies. I will be responsible for paying any deductible attached to my claim. I authorize Patterson Auto Body, Inc.'s payment to any and all supplement repair order amounts.
I authorize Patterson Auto Body, Inc. to contact me about my repair via phone, email, or text message and agree to any data rates that may apply. You may opt-out of communications at any time.