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Automotive Service Intake & Repair Authorization Form

Work Order ID: WO-[YYYY]-[XXX]
Operating Division: Alas 9 Automotive Maintenance & Fleet Division

1. Customer & Vehicle Information​

  • Customer Name / Fleet Account: [Full Name / Business Name]
  • Phone: [Phone] • Email: [Email]
  • Vehicle Year, Make & Model: [Year, Make, Model]
  • VIN (Vehicle Identification Number): [17-digit VIN]
  • Odometer Reading: [Mileage] • License Plate: [Plate / State]

2. Customer Concern & Requested Work​

  • Primary Concern / Requested Service: [Describe issue or scheduled maintenance]
  • Diagnostic / Estimate Fee Authorized: $ [Amount]

3. Repair Terms & Authorization​

  1. Authorization: The customer authorizes the repair work described above, including testing and operation of the vehicle on streets and highways.
  2. Payment: Payment in full is due upon completion and before vehicle release.
  3. Storage Fees: Vehicles not retrieved within 48 hours of notice of completion are subject to daily storage fees of $ [Amount]/day.
  4. Disposal of Replaced Parts: Replaced parts will be disposed of unless requested prior to repair commencement.
  • Customer Signature: ___________________________ • Date: [YYYY-MM-DD]