I, the undersigned, hereby authorize Star Collision and its employees to repair my vehicle, to drive my vehicle for the purpose of testing and/or inspection.

I understand that an express mechanic’s lien is acknowledged on the vehicle to secure the amount of repairs thereto.

I understand that Star Collision will NOT be held responsible for theft of vehicle or missing articles left in vehicle such as: ipods, ipads, cameras, sunglasses, credit cards, money, CD’s, golf clubs, and etc. Please remove all items from your vehicle before or when you drop off your vehicle for repairs.

I understand that Star Collision will NOT be responsible for any auto rental during the repair process.

I understand that Star Collision will impose a $50.00 per day storage fee after 72 hours from the completion of the vehicle repair.

I further understand that Star Collision is unable to release any vehicle without full payment.

I am responsible for payment in full for the repairs of my vehicle, either before or after completion of work. It is my responsibility to secure payment from the Insurance Company or from the party whom is paying for the repairs.

I authorize the Insurance Company to pay Star Collision direct for all supplemental and original repairs.