Authorization

Complete our online authorization form to get your repair started quickly and conveniently. This form grants us permission to perform the necessary repairs on your vehicle.

Have questions? We're here to help!

Call Now: (305) 381-0886
3

Fill out the form below — you'll sign in 3 places

Type directly. The invoice preview below updates as you type. All 3 signatures are required to submit.

Customer Information

Your Details

Vehicle Details

Insurance Information (Required if using insurance)

County Required

After reviewing the information below, please sign the signature fields. To change or correct information, edit the form above.

Please Read Carefully, Check One of the
Statements Below, and Sign:

I understand that, under state law, I am entitled to a written estimate if my final bill will exceed $100.

THE SHOP MAY NOT EXCEED THIS AMOUNT WITHOUT MY WRITTEN OR ORAL APPROVAL.

1
Signature
Date:Apr 22, 2026
Three in One Auto Body Care

COMPANY INVOICE

MV:82955
MVR:08196
Address:2314 NW 150th St, Opa-Locka, FL 33054
Phone Number:(305) 381-0886
Name: 
Address: 
City: 
State: 
Zip: 
Phone: 
Date:Apr 22, 2026
X  INVOICEX  ESTIMATE
* U/Used R/Repaired A/Aftermarket S/Straightened
LABOR HOURS
QTY*PartDescriptionBodyPaintFrameMech
   
CUSTOMER COMPLAINT/PROBLEM:
    
   CLAIM #:     
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        

All parts and labor are warrantied for months / miles unless otherwise stated.

Vehicle Information
VIN: 
Yr/Make: 
Model: 
Save Parts:

Core may apply

Charges based on:

Estimate Diagnosis:

or

/hr.

Payment Method:

Estimated Cost: $

**This charge represents costs and profits to the motor vehicle repair facility for miscellaneous shop supplies or waste disposal.

***s. 403.718, F.S. mandates a $1.50 fee for each new or manufactured battery sold in the State of Florida.

Estimate good for 30 days. The facility is not responsible for damage caused by theft, fire, or acts of nature. I authorize the above repairs to my vehicle including the necessary materials and sublet work. You and your employees may operate my vehicle for the purpose of testing, inspection, and delivery at my risk. If I cancel repairs to my vehicle for any reason, I understand that a tear-down and reassemble fee of $385 will apply. I understand that a charge of $100 per day will be charged if I fail to pick up my vehicle within (3) working days of notification of completion.

2
Signature
Date:Apr 22, 2026
Body Hours/@$60Parts:$
Paint Hours/@$60Labor:$
Mech Hours/@$100**Shop Sup:$
Paint SuppliesSublet:$
Body Supplies***Fees:$
Tow Storage:$220/200Subtotal:$
Epa/WasteTax:$
Miscellaneous$Total:$

E-Sign Consent

Consent to Electronic Communications & Signatures

I authorize Three in One Auto Body & Mechanics, Inc., to contact me about my repair via phone, email, or text message and agree to any data rates that may apply. I may opt out of communications at any time.

4

Final Signature

This is your final E-Sign consent.

Sign to complete authorizationDate: Apr 22, 2026