First Name
Last Name
Phone Number Name
Email Address
How will the repair be paid?
Have you received any insurance checks? YesNo
If yes, for what amount?
Would you like the option to pay via secure link through text or email? YesNo
All repairs must be paid in full at the time of the vehicle's delivery.
Kendrick Paint and Body [Kendrick] accepts many methods and forms of payment.
Pre and Post-Repair Diagnostic Scan Work Authorization Form
This diagnostic work authorization form grants Kendrick Paint and Body [Kendrick] permission to perform a pre- and post-repair diagnostic scan on your vehicle as part of the repair process. By accepting this procedure, you acknowledge Kendrick will not be held liable for problems the vehicle that cannot be detected without proper diagnostic scans.
Pre-repair Diagnostic Scan
This is a complete health check of your vehicle and provides Kendrick (and the insurance company, if applicable) a complete report on the number of computer modules on board, as well as any diagnostic trouble (DTCs) that could indicate pre-accident and/or accident related damage. This essential step eliminates unnecessary delays waiting for parts and/or additional insurance authorizations and identifies with the vehicle that could be missed without a pre-repair diagnostic scan.
Post-Repair Diagnostic Scan
This step ensures all systems on your vehicle are in proper working order prior to delivery. It is important to note the majority of DTCs do not result in a malfunction indicator lamp (dashboard light). Failure to perform a post repair scan by trained professionals with factory scan tools significantly increases the risk your vehicle may be returned with malfunctioning, or inoperable, safety and convenience systems. A post-repair diagnostic scan is the single best way to ensure your vehicle is returned to pre-accident condition.
Data Privacy
In the process of performing a diagnostic scan, Kendrick will collect important historical vehicle data, including in some cases, the date, time, and mileage when a DTC was created. This information clarifies whether a problem is accident related or pre-existing. It is possible this information will be shared with your insurance company. Your acceptance of this procedure grants Kendrick permission to share this information with others, including your insurance company. No personally identifiable information is collected during the pre- or post-repair scan.
Disclaimers
Diagnosing vehicles has limitations. In some cases, modified vehicles may give false DTCs. Kendrick and its employees cannot be responsible for omission or errors caused by the information provided (or not provided) by the customer.
All work performed by Kendrick will be in accordance with the Original Equipment Manufacturer (OEM) specifications and defaults. This includes, but is not limited to, any repairs, calibrations, integrations, programming and set points as indicated by OEM by way of their designated sources of such information. Kendrick is not responsible for any damage resulting from or to aftermarket parts or modifications from OEM factory specifications.
Variations between vehicles, according to the make, model, and trim level, may limit the information captured during a pre- or postrepair diagnostic scan. Depending on the condition of the vehicle, extent of the damage, and other factors outside the control of Kendrick, a factory scan tool may not see every system on the vehicle being scanned.
Kendrick is not responsible for any changes made to the vehicle after the vehicle leaves the shop. While Kendrick recommends a preand post-repair diagnostic scan on every vehicle, it is especially important to perform these functions on newer, highly optioned, heavily damaged vehicles. Failure to do so significantly increases the risk to the vehicle owner and occupant(s).
YES - I accept having a pre- and post-repair scan performed on my vehicle, even if my insurance does not pay for the procedure. In some instances, insurance coverage may not be determined until after the scan is performed.NO - I decline having a pre- and post-repair diagnostic scan on my vehicle, though they were recommended by Kendrick and the need was explained to me. I understand Kendrick will not be held liable for any hidden damage that could not be detected during the repair process as a result of not having performed a pre-repair scan. I also understand certain systems may not function correctly (or at all) following the repair, and it would be impossible to detect issues with those systems.
Vehicle Owner (or authorized representative) Signature of Customer