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Auto Repair Release Form Template

Protect Your Auto Repair Business with This Release Form

Are you worried about potential disputes or liabilities from your auto repair services? This Auto Repair Release Form Template is designed for mechanics and auto shop owners who want to protect themselves and their businesses. By using this template, you can clearly outline service agreements, ensure customer understanding of risks, and minimize your exposure to legal issues, while also building trust with your clients. Create a transparent and safe environment for both you and your customers easily-try the live template now!

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Full name
Phone number
Email address
Preferred contact method
Phone
Email
Text message
No preference
Vehicle year
Vehicle make
Vehicle model
Vehicle Identification Number (VIN)
License plate number
Current odometer reading
Vehicle condition
Drivable
Not drivable
Unknown
Keys provided
Yes
No
Personal items removed from vehicle
Yes
No
Fuel level
Empty
1/4
1/2
3/4
Full
Unknown
Describe the issue or requested services
How will the vehicle arrive
Customer drop-off
Towed in
Pickup by shop requested
I authorize the shop to inspect and diagnose my vehicle as requested
Agree
Disagree
Not-to-exceed amount for repairs without further contact (USD)
Proceed with repairs up to the amount entered without additional approval
Yes
No
Parts preference
OEM parts preferred
Aftermarket parts acceptable
Remanufactured parts acceptable
Used parts acceptable
No preference
Disposition of replaced parts
Return replaced parts to me
Dispose of replaced parts
Not applicable
Road test authorization
Authorize standard road test only
Authorize extended/off-site road test if needed
Do not authorize any road test
Consent to photograph the vehicle for condition and repair documentation
Yes
No
Authorize towing or transport services if needed
Yes
No
I acknowledge the shop has a mechanic's lien on the vehicle for charges due
Agree
Disagree
I acknowledge diagnostic and evaluation charges may apply
Agree
Disagree
I understand the shop is not responsible for loss or damage due to fire, theft, or events beyond reasonable control
Agree
Disagree
I understand the shop is not responsible for personal items left in the vehicle
Agree
Disagree
Storage fees begin after (number of days)
Daily storage fee amount (USD)
I acknowledge storage fees may apply as stated above
Agree
Disagree
I acknowledge any warranty terms will be stated on the final invoice
Agree
Disagree
I consent to receive updates about this repair by phone, text, or email
Yes
No
Intended payment method
Cash
Debit card
Credit card
Certified check
Insurance payment
Other/arranged
Is there a third-party payer (insurance or warranty company)?
Yes
No
Third-party company name (if applicable)
Claim or contract number (if applicable)
Authorize release of vehicle to an alternate person
Yes
No
Name of authorized pickup person (if applicable)
Phone of authorized pickup person (if applicable)
Vehicle received date
Target completion or pickup date (if known)
Government-issued ID will be required at pickup
True
False
By typing my name, I certify I am the owner or authorized agent and I agree to the terms above
Signature date
{"name":"Full name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Full name, Phone number, Email address","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration depicting an auto repair release form for article on FormCreatorAI

When to use this form

Use this release any time you accept, diagnose, repair, or tow a vehicle. It is vital for bodywork after a collision, engine or electrical troubleshooting, brake or tire jobs, and mobile calls where you work at a customer site. It records consent to road-test, move, and store the car, and confirms who is responsible for pre-existing damage, storage fees, and customer-supplied parts. Ask the owner to acknowledge condition photos and mileage at drop-off and pickup. Shops and mobile mechanics benefit from fewer disputes and faster approvals. Customers benefit from clear expectations and a simple paper trail. The outcome: you reduce risk, set terms in plain language, and keep the job moving from estimate to pickup.

Must Ask Auto Repair Release Questions

  1. Who is the legal owner, and what are the vehicle details (year, make, model, VIN, plate, and current mileage)?

    Clear identity and specs tie the release to the right car and person. It prevents mix-ups and helps you document odometer readings before and after service.

  2. What services are you authorizing today, and do you allow us to road-test, tow, and store the vehicle as needed?

    Scope and consent avoid disputes about what you can do to diagnose and verify fixes. If a customer rides along on a test drive, add a short Medical waiver form for extra clarity.

  3. Do you acknowledge any pre-existing damage, and do you permit us to photograph the vehicle condition?

    Photos and notes set a baseline so you can separate old damage from anything new. This protects trust on both sides.

  4. Are you supplying any parts, and do you accept that warranties apply only to our labor or shop-supplied parts?

    Customer-supplied parts change risk and coverage. Getting this in writing keeps expectations clear and saves time if a part fails.

  5. Do you accept limits of liability for theft, weather, or third-party events not caused by our negligence, and agree to storage and diagnostic fees?

    Stating these terms up front reduces chargebacks and disputes after completion. For loaners or valet situations, pair this release with a Vehicle damage waiver form to cover property risk.

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