Experience the Lennox Difference Lennox Auto BodyAuthorization for Repair First Name(Required) Last Name(Required) Phone(Required)Email Enter your email to have this form sent to you after completion.Vehicle Year(Required)Please enter a number from 1930 to 2050.Vehicle Make(Required) Vehicle Model(Required) Lennox Enterprises, Inc., AKA Lennox Auto Body, can only estimate, not promise a completion time. All deductibles, customer paid repairs, betterments, and insurance repairs must be paid IN FULL prior to any vehicle being released. Lennox Auto Body warranties all workmanship and paint. Rust warranty: one year from the date of delivery only when complete panels have been replaced. A 20% restocking fee will be collected on any job not cancelled two weeks prior to repairs. All replacement parts are to be paid in full at time of scheduling for any customer pay work. All part prices are subject to change, any changes will be reflected on the final bill. While not common, occasionally an insurance company will not pay the full amount to restore a vehicle to its pre-accident condition. In these circumstances the difference becomes the responsibility of the policy holder. In addition, please understand that: The vehicle may need to be driven off the premises for additional repairs or sublet work. Lennox Auto Body is NOT responsible for any lost or missing items. Please have all valuables removed from the vehicle before drop off. Lennox Auto Body is NOT responsible for natural disasters/acts of God. We cannot guarantee that all cars will be parked indoors during inclement weather. By signing this document I acknowledge I have read and I understand the above statements and I authorize Lennox Auto Body to order parts and repair my vehicle. Signature(Required)Date(Required) MM slash DD slash YYYY Do you need to fill out a Direction to Pay? (Required for any jobs being paid or partially paid by an insurance company)(Required) Yes No Lennox Auto Body Direction To Pay Please read the following statement. If you have your insurance and claim information you may fill it in, if not they may be left blank. We will fill out any blank information as well as the cost of repairs when we have the final total. I hereby authorize the insurance company,Insurance Company , to pay Lennox Enterprises, Inc., aka Lennox Auto Body, on my behalf for claim #Claim # in the amount of $Costfor repairs completed on my vehicle per the estimate/supplements(s) written and agreed upon by Lennox Auto Body and the named Insurance Company. I understand if payment is not made in full within ninety (90) days from the date of delivery, I will be responsible for the remaining amount due. I authorize Lennox Auto Body to endorse my name on any insurance check received as payment for the claim referenced above. Once this claim is paid in full authorization will be rescinded. In the event the insurance company inadvertently mails a check to me, I agree to notify Lennox Auto Body immediately and bring the payment to the shop in a reasonable amount of timeSignature(Required)Date(Required) MM slash DD slash YYYY NameThis field is for validation purposes and should be left unchanged.
