Authorization and Acknowledgement

By submitting this form, I authorize Auto Modz to:

• Inspect my vehicle for collision-related damage

• Communicate directly with my insurance provider and assigned adjuster

• Request, review, and submit repair estimates and supplemental documentation as needed

I understand that submission of this form does not authorize repairs to begin until approval is received from my insurance company.

Important Disclosures

• Final repair costs may change after vehicle teardown or additional damage is discovered

• I am responsible for my insurance deductible and any costs not covered by my policy

• Auto Modz is not responsible for delays caused by insurance approval, parts availability, or third-party vendors

• Repairs will not begin without insurance authorization or customer approval

By submitting this form, I confirm that the information provided is accurate to the best of my knowledge.