Auto Repair Liability Release Form

Records a customer's acknowledgment of repair-related risks and releases the shop from liability for unforeseen damage.

Use this template

Please read the following liability release terms carefully before continuing.

There is a risk of spill of oil, grease, and/or other chemicals that may spill to my driveway, lawn, garage and/or any other personal property.

I understand and accept this risk

It is my responsibility for keeping away children, pets, relatives and guests away from the work area during the repair in order to avoid or mitigate the risk of personal injury.

I accept this responsibility

I take responsibility for any damage to any property within the premises, whether real or personal, particularly including but not limited to, my driveway, landscaping, home, and/or personal injury, might occur.

I accept this responsibility

The time spent in repairs through this method may take longer than usual. I accept and acknowledge any unforeseen delays or expenses which may accrue for not having the vehicle repaired on time.

I accept

During repair, there may be unforeseen damaged parts that the mechanic might not see and might get damaged. The mechanic shall inform me of these damaged parts and further assessment shall be made. This shall incur additional costs for repair on my part should I ask for it to be repaired as well.

I accept

By signing below, I confirm that I have read and agree to all of the terms above.

Name

First Name

Last Name

Address

Street Address

City

State / Province

ZIP / Postal Code

Email

Phone Number

Car Make

Car Model

Car Plate

Date Signed

Signature

Sign here

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