Repair authorization

Customer information

Authorize Velocity Auto Collision to repair your vehicle. It takes about 5 minutes, no account is needed, and you'll be able to download a signed PDF copy at the end.

Step 1 of 6

CustomerCustomer information (current)
VehicleVehicle information (upcoming)
InsuranceInsurance information (upcoming)
RepairRepair authorization (upcoming)
TeardownTeardown and fee authorization (upcoming)
ReviewReview and submit (upcoming)

Full legal name

Street address

City

State

ZIP code

Day phone

Cell phone

Alternate phone(optional)

Email address