Estimate of Auto Repairs

Page number: of Ref no:

Company name & address:

Name Phone Date

Street City
Year Color Make Model
Registration #: Serial #: Odometer Estimated by
Insurance Co Adjustor
Replace Repair Description Parts Labor Refinish Sublet

Totals
The details and the estimate provided above are based on our first inspection and do not Total parts
constitute a guarantee that no further work / parts will be required. The total bill of work will be as
Total Labor
per the details available on completion of the work. Other terms and conditions as applicable.
Total Refinish
Total Sublet
You are hereby authorized to make the above repairs and I agree to pay in full. Other charges
Tax
Signature:___________________________________________________________
Total
Date: _______________________________________________________________

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