
Customer Information
Vehicle Information
Insurance Information
Legal Information
The above individual authorizes JT Restorations & JT Restorations Towing, LLC to repair the aforementioned vehicle. WHAB is authorized to act as the above individual's agent for the purpose of negotiating the costs of repairs, including the damage discovered after the initial appraisal, with the insurer. WHAB can allocate any and all payment to facilitate the successful and proper repair of the vehicle listed above.
The above individual authorizes JT Restorations & JT Restorations Towing, LLC to operate their vehicle for the purposes of testing and diagnostics, delivery of the vehicle to the customer, and general purposes on the property of JT Restorations & JT Restorations Towing, LLC.
JT Restorations & JT Restorations Towing, LLC will not be liable for loss or damage to the vehicle, or items lost/stolen beyond circumstances that are generally reasonable or beyond our control.
The above individual recognizes that JT Restorations & JT Restorations Towing, LLC cannot reasonably be expected to release a vehicle with an outstanding balance unless the insurer has issued a written or electronic promissory document agreeing to pay the remainder of said balance. The above individual authorizes JT Restorations & JT Restorations Towing, LLC to endorse checks on their behalf for the purpose of compensation to repair the vehicle listed here-in (Limited POA).
The above individual authorizes the above listed insurance company to pay JT Restorations & JT Restorations Towing, LLC directly when permissible.
Date Signed:
08/29/2026
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