Work Authorization Form

The staff at Haley European Motors, LLC. is dedicated to providing the highest quality repairs in a timely, professional manner and at a competitive price. We use the latest diagnostic techniques and the highest quality parts to help maintain the safety, value and reliability of your car.

Personal Information
Vehicle Information

1) Do you have any particular concerns about this vehicle?

2) Does the heating and air conditioning work?

3) Does the car ride smoothly at highway speeds?

 

 

4) Is the car producing any unusual noises or vibrations?

 

 

5) Is the car producing any unusual odors?

6) Is the "Check Engine" or "Service Engine Soon" light on or has it been on?

7) Does this vehicle meet your present needs?

8) When is the absolute latest you need your car back?

9) Please share any information that may assist in the evaluation of your vehicle

Disclaimer of Liability
 

The owner hereby authorizes the repair work herein set forth, along with the materials deemed necessary by Haley European Motors to complete such repairs. Owner agrees that Haley European Motors will not, at any time, be held liable for any expense or loss of income due to the loss of use of the vehicle.  

 

Owner further agrees Haley European Motors will not be held liable for any damage to vehicle or personal property within such vehicle due to fire, theft, or any other cause beyond its control. Owner agrees to take possession of vehicle within 48 hours after all repairs are completed, or after an estimate has been given and declined.


Vehicles left longer than ten days after completion of repairs or estimates will be assessed a TWENTY ($20) dollar per day storage charge. Owner hereby releases Haley European Motors from any and all liability for loss or damage to vehicle or personal property within the vehicle, for any reason, after this forty-eight hour period has elapsed.


Owner hereby grants Haley European Motors permission to operate the vehicle on street and thoroughfares, or elsewhere, for the purpose of testing and/or inspection. An express mechanic's lien is hereby acknowledged on the vehicle to secure payment of the amounts thereto.

 

 

Disclaimer of Warranties
 

Any warranties made on the automotive parts used by Haley European Motors are those made by the manufacturer which will not exceed 18 months or 18,000 miles from the date of installation. Haley European Motors hereby expressly disclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness. Haley European Motors neither assumes nor authorizes any person to assume for it any liability in connection with the sale of said products.

 

 

I authorize Haley European Motors to evaluate the work requested above with the understanding that there will be a charge of up to $125 for the preliminary diagnosis and estimate. I understand that this $125 charge will neither repair the car nor provide a definitive diagnosis/estimate. I agree to pay said charge whether or not I choose to pursue recommended repairs. I have fully read and agree with this work authorization form, including the disclaimers of liability and warranties, and authorize Haley European Motors to proceed with the preliminary diagnosis and estimate.

Your Signature

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336.377.1070