Authorization Consent

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Client Information

Vehicle / Insurance Information

By clicking the below boxes you are providing legal consent to Dallas Collision Center

State of Texas Power of Attorney County of Dallas: Known all men by these present that I (or we), the undersigned, do hereby constitute and appoint Dallas Collision Center as my (or our) true and lawful agent and attorney in fact to endorse in the name, place and stead of the undersigned any check or draft issued by above mentioned insurance carrier to cover all or part of the repairs to my (or our) automobile which we are authorized by me (or us) in whichever manner is necessary to negotiate such a check or draft for the purpose of paying such repairs. I (or we) hereby ratify and confirm whatever action said agent and attorney in fact may take in such regard by virtue hereof.
I understand and agree that Dallas Collision Center can only give me an estimate completion date for the repairs on my vehicle. Delays due to parts availability, insurance re-inspections, supplemental and/ or hidden damages, cannot be anticipated. These factors can greatly affect the completion time. I further understand and agree that Dallas Collision Center in not responsible for providing me with a complementary loan vehicle while my vehicle is in this shop for repair and service work. It is my sole responsibility for arranging alternate transportation. This responsibility also convers any situation where insurance company coverage for a rental vehicle has ceased.


I have removed all valuables from the vehicle, such as money, firearms, phone, CD’s, jewelry, garage door opener, etc.

Repair Authorization

I understand that I am responsible for any deductible, adjustment for depreciation and/or betterment amounts or failure of my insurance company to pay other labor, part or material costs necessary to restore my vehicle to its pre-accident condition as required by state law.
I hereby authorize the repair work to be done along with the necessary material, and hereby grant Dallas Collision Center and its employee’s permission to operate the car or truck herein described on streets, highways or elsewhere for the purpose of testing and/ or inspection. I have read and understand all of the above information and an express mechanic’s lien is hereby acknowledged on above car or truck to secure the amount of repair thereto.
I understand that the vehicle is subject to repossession in accordance with business and commerce code 9.609. If payment for the repair of the motor vehicle by check, money order, or a credit card transaction is stopped, dishonored due to insufficient funds, no funds, or because the maker or drawer of the order or the credit card holder has no account or the account upon which it is drawn or the credit card account has been closed.

Electronic Signature

ELECTRONIC SIGNATURE AND MANNER OF COMMUNICATIONS: This authorization is subject to your consent to electronic transactions and disclosures. You agree that your electronic signature has the same force and effect and is the legal equivalent of your manual signature on this authorization form. Furthermore, I authorize Dallas Collision Center to communicate with me regarding my repair via email and SMS, MMS, or other phone-based messaging, including by use of an automatic telephone dialing system or a pre-recorded voice; I understand that I may opt out of such communications at anytime.


  • Monday 7:30am - 6:00pm
  • Tuesday 7:30am - 6:00pm
  • Wednesday 7:30am - 6:00pm
  • Thursday 7:30am - 6:00pm
  • Friday 7:30am - 6:00pm
  • Saturday 9:00am - 12:00pm
  • Sunday Closed


Dallas Collision Center

2964 Irving Boulevard
Directions Dallas, TX 75247

  • Sales: (972) 721-6502