Please enable JavaScript in your browser to complete this form.LayoutAiken Collision, Inc. 727 Richland Avenue East, Aiken, SC 29801 PH: 803-226-0270 | Email: info@aikencollision.com AUTHORIZATION FOR TEAR DOWN & REPAIR PLAN Name *FirstLastDate *LayoutPhone *Email *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLayoutYear *Make *LayoutModel *VIN *LayoutColorI, the undersigned, hereby authorize Aiken Collision, Inc to perform a complete disassembly of the damaged components so that an estimate may be written for the repair of my vehicle. I also agree that there is a fee of $250 for the tear down and a $50 per day storage fee from the date of drop off until pick up if my vehicle is not repaired by Aiken Collision, Inc. I understand that upon a completion of disassembly and I decide not to proceed with repairs of my vehicle that some and/or all damaged parts may not be able to be re-installed on my vehicle. LayoutSignature *Clear SignatureDate *Submit33515