1201 E Plano Pkwy
Plano, TX 75074
Ph) 214-526-0316

Vehicle Repair Authorization

We’ve made it simple to authorize repairs to your vehicle online.
Complete the required information below, click the boxes to agree to the statements and sign with your finger or mouse before submitting.

Customer Information
Vehicle & Insurance Information
Number of people in vehicle at the time of accident?
Do you have wheel locks or a storage compartment key?
Are there any warning lights on your dash?
Does insurance check need lienholder endorsement?
Did you receive a first check from the insurance company?
Do you feel your vehicle has been driving differently since accident?


Dear Valued Client,

We appreciate and value your business. Thank you for trusting Hances Uptown Collision to repair your vehicle, ensuring you and your family’s safety. We work hard to make the experience as easy as possible. We have invested heavily in our manufacturer relationships, capitalizing on our nearly 70 years of automobile repair in this modern, technologically advanced repair facility. We have all the required tools and certifications that make us a market leader and trusted partner with companies like Tesla, Nissan, Infiniti, Kia, Hyundai and the MOPAR group of vehicles. You can be assured that we invest in our training, the hiring of experienced staff and the best facility to return your vehicle to its pre-loss condition. We are an advocate for you with your insurance company and we work for the best proper repair, with the best parts and procedures required by the vehicle manufacturer to accomplish a complete and satisfactory repair meeting or exceeding industry standards.

To that end, by agreeing to the terms outlined in this document when dropping off your vehicle, you acknowledge the following:

A work authorization which gives us the authority to fix your vehicle, charging for the work performed and meet mechanics lien against your vehicle for the monies owed in complete to the task of repair.

An acknowledgement of the delays that can be experienced due to manufacturer parts issues beyond anyone’s control and the fact that Hances does not rent vehicles or pay for rentals exceeding 30 days in repairs. Modern technologically advanced automobiles can regularly take 40-60 days to repair. The insurance companies only have a 30-day rental reimbursement for the insured of 30 days. A “claimant” against another insurance company can be reimbursed nearly unlimited in loss of use of a vehicle, but that is up to each individual carrier. Insurance is designed to mitigate financial loss and make you “whole.” That is not guaranteed, and Hances Uptown Collision bares no fiduciary or financial obligation for transportation. We want your vehicle repaired as fast as possible!

Payment for repairs and guaranteed funds to release a vehicle. You have multiple methods with advantages and disadvantages. You are aware that all monies must be cleared and payment in full guaranteed prior to release. A Personal or Corporate check is NOT GUARANTEED FUNDS.

Clicking the boxes indicates you have read and agree to the following statement(s):

All Repair cost must be paid in full with cleared funds or CC (3% fee applies) at time of completion! This includes all deductibles, customer paid repairs, supplements to the original estimate and any deviation or supplement request made to the paying insurance provider. You will be provided with a copy of all documents sent to the insurance co. by email.

STANDARD AUTHORIZATION POWER OF ATTORNEY
Estimate of repairs include all parts, labor, materials, procedures and specialty tools required to perfect a completed vehicle. If, on closer analysis, it is found that additional repairs are necessary, you will be contacted for authorization to proceed. If Automobile is returned to customer before Authorized Services is performed, a diagnostic, tear down and handling charge NOT INCLUDING REASSEMBLY, will be made and owned for vehicle release. If Applicable, I authorize HANCE’S UPTOWN COLLISION and its EMPLOYEES to act as my agent in negotiating the final cost of repairs with my insurance company. I hereby authorize the repair work described in the estimate and final invoice herein (attached at pickup) to be performed, including sublet work and grant you and/or your employees’ permission to operate the vehicles on streets or highways for the purposes of repairing, calibrating, and testing and acknowledge receipt of the estimate. I UNDERSTAND I AM RESPONSIBLE FOR PAYMENT OF THE COST OF REPAIRS and agree that in the event of legal action is required to secure said payment, I will also pay such additional amount as the court may fix as attorney fees. If these repairs are an INSURANCE CLAIM, the undersigned and vehicle owner, does hereby constitute and appoint HANCE’S UPTOWN COLLISION and Affiliated Trade Names, my true and lawful representative to sign my name on any insurance drafts, checks and provide said power of attorney covering any authorized repairs to my automobile and to take such action as may be necessary to negotiate said drafts / checks.

Tear Down Authorization
I authorize DISASSEMBLY and APPRAISAL of listed vehicle. If the vehicle is not repaired by Hance’s Uptown Collision, I understand there will be charges incurred for the estimate, tear down, negotiation and storage. These charges will be a minimum of $500.00, but limited to $4999.99, unless otherwise agreed to in writing and signed by both parties separately of this document. Note: All old parts will be discarded unless notified in writing prior to repair started.

Authorized And Accepted
You and your facility are hereby authorized to make specific and necessary repairs to safely and completely repair the named damaged vehicle. You and your facility will not be held responsible for loss or damage to vehicles or articles left in the vehicle in case of fire, theft, accident or any other cause beyond your control. I hereby acknowledge that the repair estimate is the basis of our agreement and is only an estimate and additional cost may be incurred. You and your facility are not responsible for DELAYS IN PARTS, INSURANCE SUPPLEMENT RESPONSE and REPAIR TIME DELAYS BEYOND YOUR CONTROL. AN EXPRESSED MECHANICS LIEN is hereby acknowledged on the above-named vehicle to secure payments thereto.

NOTICE PURSUANT TO SEC. 70.001, TEXAS PROPERTY CODE: I am the person or agent acting on behalf of the person who is obligated to pay for the repair of the motor vehicle subject to the repair contract. I understand that this vehicle is subject to repossession in accordance with SEC. 9.609, Texas Business and Commerce Code, if a written order for payment for repair of the vehicle is stopped, dishonored because of insufficient funds, no funds, or because the drawer or maker of the order has no account or the account on which it has been drawn is closed.

PAYMENT FOR REPAIRS

Payment for repairs can be made by multiple forms as posted in our lobby as well as additional modern methods. We reserve the right to demand cash for repairs as afforded by law. Any other form of payment is not a guarantee, but a promise to pay. The release of a vehicle requires payment in full, by cleared, guaranteed funds.

Credit Cards: We accept CC payments as the easiest form of convenience, but we pass that convenience fee onto the cardholder at a flat rate of 3%. The cost of that convenience will not be borne by Hance’s Uptown Collision. This is a pass-through rate and goes right to the processing company. We negotiate and repair vehicles at cash price, transparent of all operations and procedures. When taking a credit card, we lose revenue that is too costly. The savings of that cost are directly given to our employees as health benefits.

Insurance Checks: We accept Insurance Checks from major and known carriers in our database. These are not guaranteed funds and a stop pay or failure to pay by a carriers check, subjects you the vehicle owner, to additional fees or storage of repossession if the carrier paying for repairs fails to honor a check.

Personal Checks: We accept these funds, but they must CLEAR prior to the release of a vehicle. This can take up to 7 days. If you wish to use a personal check, it must have a printed address matching your driver’s license – no exceptions. We will copy the check and your license together. Drop that check off when you drop your car, so we have the time needed for those funds to be in our account. Corporate Checks have similar requirements.

Cashier’s Check: from a major bank will be accepted at the time of delivery as long as it is properly coded, printed and sourced from the institution. A “counter check” is not the same. A money order can be substituted, but we reserve the right to not release the vehicle until our bank accepts the funds.

BANK Wire: Please contact us for wire instructions at [email protected]

CASH: Is the best, but not easy to carry and we don’t always have change. But it will guarantee the release of your vehicle if you wish to wait until the time of pick up to pay.

We always require the parts to be paid for in full by check, credit card, cashier's check, or cash to order the parts and begin repairs. Parts are generally not returnable, and we must pay for them upon delivery.

Based upon events that have occurred during 2020 and current world factors, there may be delays during the repair process that will be out of our control. These delays range from parts delays and/or insurance company delays. Any delays caused by a lack of parts and/or insurance delays are not the fault of the repair facility – Hance’s Uptown Collision and our staff. We want your vehicle fixed right and fast as possible. We are working hard to accomplish that!
By signing this form, you acknowledge there may be delays beyond our control during the repair process, as described above.
At the time of delivery payment is preferred by check, cashier’s check or by cash. If a credit card is used, a 3% convenience fee will be applied to the transaction.
Hance’s will not be responsible for loaner or rental vehicle any issue caused by the delays mentioned above.
By using this service, you agree that Hances Uptown Collision Center may text you at the number provided. Message and data rates may apply.
By drawing your signature in the space provided above, and clicking the "complete authorization" button, you are consenting to use electronic records and signatures in connection with this transaction, confirming your name displayed above is correct and you understand and agree to the statements above as well as our Terms and Conditions for Use in Document Executions. Your electronic signature will be just as enforceable as signing the same document using a handwritten signature.
Digital Signature: 3137322e37302e3132362e323034
IP Address: 172.70.126.204 User Agent: Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; [email protected])