MCR — Review and Sign Authorization

COLLISION REPAIR AUTHORIZATION, DIRECTION OF PAY & LIMITED POWER OF ATTORNEY

Repair order number

Insurance claim number

Step 2 of 2 — Sign

Customer printed name

Sign inside this box with your finger or mouse.

I have read the agreement and agree to its terms, including the repair authorization, direction of pay, and limited power of attorney.

After saving, reply to your original email and attach the signed PDF. On iPhone, check Safari Downloads or use Share / Save to Files when the PDF opens. The file is always two pages on any device.

Customer signature:

Date:

Printed name:

Repair facility representative:

Electronic signature drawn by customer; time from customer's device. This demonstration does not verify identity or provide an independent audit trail.

Open your customer signing link

Review and sign your authorization