Repair Authorization Form

Let us help you get on your wheels faster! Fill out the repair authorization form below to help you get on the road quicker.
Make sure to review Denver City Service Warranty and Terms and Conditions.

Full Name

First Name

Last Name

Phone

(###)

###

####

Email

Vehicle Information

Make/Mode/Year

Vehicle License Plate #

VIN #

Insurance Information

Company/Policy #

Terms and Conditions

Download Denver City Service Terms and Conditions HERE.

Accept

Do Not Accept

Date

MM

DD

YYYY

Electronic Signature

I hereby authorize the repairs of the vehicle, and acknowledge that I understand the Terms and Conditions. Denver City Service is not responsible for the security or condition of any personal property left in the vehicle. Any express mechanics lien is hereby acknowledged on this vehicle to secure the amount of repairs thereto.

Download Denver City Service Terms and Conditions HERE.

Download Denver City Service Warranty HERE.

Repair Authorization Form

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Denver City Service Body Repair