VanDevere Automotive Family
Auto Outlet
330-645-9500
Collision Center
330-253-8332
Kia
330-253-8800
Buick
330-253-6137
Cadillac
330-376-9600
Chevrolet
330-867-3010
1490 V ODOM BOULEVARD
Akron, OH 44320
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Home
Vehicles
New Vehicles
Pre-Owned Vehicles
Business Elite: Commercial & Fleet
Finance
Financing
We Want Your Vehicle
What's My Buying Power
Service & Parts
Service Locations
Protection Packages
Collision Center
Order Buick Parts
Order Cadillac Parts
Order Chevy Parts
Order Kia Parts
Parts Locations
Collision Center
Collision Center
Get Free Estimate
Community
About Us
Our Group
VanDevere Social Media
VanDevere Advantage
Warranty Forever
Is The Free Car Wash Open?
E Newsletter
VanDevere Core Values
Why Buy Here Video
Career Opportunities
Vehicle Service Authorization
Vehicle Service Authorization
*First Name
*Last Name
*Phone
*Email
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*Insurance Company
*Self Pay
*Year
*Make
*Model
Please check each box to authorize service
I hereby authorize VanDevere Automotive Family to DISASSEMBLE AND COMPLETE the necessary repairs to my vehicle. I understand that I am entitled to a written estimate/evaluation of the damage, upon request.
I authorize VanDevere Automotive Family to operate my vehicle for the purpose of testing, inspecting or sublet repairs, pickup or delivery.
I authorize VanDevere Automotive Family to negotiate with insurance companies on my behalf.
DIRECTION TO PAY: I authorize all insurance payments be made to VanDevere Automotive Family. I understand that I am responsible for all deductible payments and any pre-issued payments authorize all supplement amounts be paid to VanDevere Automotive Family. An express mechanics lien is hereby acknowledged on the above vehicle to secure the amount of the repairs.
I will not hold VanDevere Automotive Family liable for loss or damage to the vehicle in case of fire, theft or accident. VanDevere Automotive Family IS NOT RESPONSIBLE FOR ANY PERSONAL ARTICLES LEFT IN THE VEHICLE. I ACKNOWLEDGE I HAVE REMOVED OR WILL REMOVE ALL PERSONAL ARTICLES FROM MY VEHICLE.
In order to diagnose necessary repairs, I authorize VanDevere Automotive Family to access the vehicle's electronics data.
Due to current issues with parts availability, materials and labor shortages, VanDevere Automotive Family WILL NOT BE RESPONSIBLE FOR RENTAL CHARGES BEYOND INSURANCE COMPANY APPROVED PERIOD OR POLICY LIMITS.
This authorization is subject to your consent to electronic transactions and disclosures. You agree that your electronic authorization has the same force and effect and is the legal equivalent of your manual authorization signature.
I understand my right regarding part(s) return, as outlined by the State of Michigan, and waive the right to return all replaced/damaged part(s). I will communicate directly with the shop, before repair(s), should I want any replaced/damaged part(s) returned.
Checking this box, and the above boxes, indicates that YOU HAVE READ, UNDERSTAND AND AGREE to the above terms.
By clicking this box, I agree to receive in-person or automated telemarketing calls and texts from VanDevere Automotive Family at the number I entered. I understand that my consent is not required for purchase.