Work Authorization Form- Northside Body Shop

Northside authorization form

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

All repairs must be paid in full prior to vehicle release (unless prior arrangements have been made)
We do accept personal checks
We accept: cash, credit cards, money orders, or cashier’s checks
All deductibles are payable to NORTHSIDE BODY SHOP, LTD.
Multiple party checks (insurance) must be endorsed prior to vehicle release
I have read and understand NORTHSIDE BODY SHOP LTD’S vehicle release policy.
I understand that estimated delivery date is not guaranteed and is subject to change
I understand that if I cancel repairs after parts have been ordered, I will be responsible for any restocking fees, if applicable.

Customer Signature

Date