Authorization to Repair, Direction of Pay, Explanation of Payment and Non-responsibility Waiver for City Collision

I hereby authorize City Collision to repair my vehicle as per the estimate. I understand that payment in full will be due upon the release of my vehicle, including any additional supplemental damage charges or insurance deductibles. I also understand that acceptable forms of payment include cash, money orders, cashier's checks, VISA and MasterCard (3% processing fee will be added) and that personal checks WILL NOT be an acceptable form of payment. I also grant City Collision and its employees permission to operate my vehicle (herein described on streets, highways, or elsewhere for the purpose of testing and inspection). An expressed mechanic's lien is hereby acknowledged on below vehicle to secure the amount of repairs thereto. I will not hold you responsible for loss or damage to the vehicle or articles left in vehicle in case of fire, theft, accident or any other cause beyond my/your control. Old parts removed from my vehicle will be junked unless otherwise noted. If insurance does not cover the loss and the vehicle is not repaired here, a $60 per day storage rate is applied from the day the vehicle arrived.


I authorize the insurance company to make Supplemental payments, on my behalf, directly to:
City Collision Inc
3015 Liberty Avenue, Pittsburgh PA 15201, Tax ID 251669169



*Customer Name:



*Phone: (8:00am - 5:00pm):



FULL SUSPENSION ALIGNMENT ($99.95): Utilizes our state of the art alignment machine to ensure your suspension is within factory specifications, which ensures optimum stability and eliminate premature treadwear.DELUXE CAR TREATMENT ($75): This service includes a thorough cleaning inside and out of your vehicle, ranging from vacuuming the interior, cleaning all windows, shining the tires, cleaning the wheels and a full vehicle hand wax. (Larger vehicles will be $100: E.g. Vans, SUV's, etc ... )PREMIUM CAR TREATMENT ($40): This begins a basic car wash, but also includes a thorough vacuuming and wiping of internal surfaces of the vehicle, cleaning of each of the windows, tire cleaning and wheel shine. (Larger vehicles will be $60: E.g. Vans, SUV's, etc ... )STANDARD CAR TREATMENT (Included): This is a basic car wash included as a courtesy of the shop.



Note: Entering your name above is considered your signature



The City Collision Repair Process

City Collision has spent years developing a process that facilitates the quick turnaround and professional results you deserve.  This process includes:

  1. Scheduling of 30-minute Damage Review – We schedule an appointment to inspect and assess the damage to your vehicle and/or provide a written estimate. You will not leave your vehicle with us during this step, but we can make rental car reservations.
  2. Deposit – We collect a deposit for parts, which need to be ordered. Acceptable forms of payment are cash, Visa, MasterCard, certified check or insurance check (properly endorsed by all parties w/ liens).
  3. Scheduling vehicle drop-off – We ensure that vehicle drop-off coincides with parts arrival.
  4. Confirmation of parts arrival – This step avoids unnecessary delays by contacting our suppliers several days before the scheduled parts drop-off date.
  5. Reminder Call – We’ll call you the Friday prior to your drop-off date.
  6. Vehicle Washing & Degreasing – this removes all contaminants from your vehicle prior to starting repairs.
  7. Insurance – We will address any insurance company issues arising as result of any additional repairs required after disassembly of your vehicle. It is not unusual for additional damage to be discovered at this point and we provide any additional documentation your insurance company may need.
  8. Regular follow-up – We keep you in the loop with regular calls to update you on the repair process. We’ll notify you should any unforeseen delays arise and share what we’re doing to address, alleviate or eliminate those delays.
  9. Completion & Delivery ­– The employee who wrote the repair estimate for your vehicle conducts a comprehensive inspection. We hand-wash the exterior, vacuum the interior and contact you for vehicle pick-up.

Before Leaving Your Car for Repair, Remember to:

  1. Please remove all items and debris especially in your trunk or bed area to eliminate time spent cleaning or moving and storing your items in order to gain access to your vehicle’s paint codes.
  2. Avoid using Armor All type products, which slows down our painting preparation.
  3. Please fill your fuel tank, which is necessary for proper realignment to be done.
  4. Please disable all automotive and audio alarm systems or provide us with the appropriate radio theft codes to bypass them during your repair process. You may wish to write down your radio station settings as they may be erased if the battery is disconnected during repairs.
  5. Please bring all keys with you for locked items such as trunks, wheel locks, spare tire locks, roof rack locks, etc. We will probably need more than a valet key to complete most repairs.
  6. Please bring your estimate information, which should include the name of insurance carrier responsible, your policy number, claim rep’s name and phone number and your claim number. Also any estimates that you may have already have written by you or other parties insurance companies.

Full Collision Repair, Auto Body Services, Towing Services in Pittsburgh, PA