1705 Reinhardt College Pkwy
Canton, GA 30114
Ph) 770-720-2066

Vehicle Repair Authorization

We’ve made it simple to authorize repairs to your vehicle online.
Complete the required information below, click the boxes to agree to the statements and sign with your finger or mouse before submitting.

Customer Information
Vehicle & Insurance Information
Number of people in vehicle at the time of accident?

Atomize Collision and Customs Policy

As collision repair professionals, it is the general policy of this facility to use new genuine OEM parts in the repair of vehicles. You may decide that you will be satisfied with a repair that includes the use of aftermarket (AM) or salvage parts. Under no circumstances, however, will we install a "recycled" airbag, used suspension, or any other part we believe to represent a significant risk to the safety of your vehicle.

Election and Authorization of Parts:

You, the customer, decide which types of parts are to be used in the repair of your vehicle. As collision repair professionals, we recommend the use of only new genuine OEM parts. If you elect to have your vehicle repaired using only new OEM parts, an insurer might refuse to pay the full amount for the new OEM parts necessary to properly repair your vehicle. That is an issue between you and the insurer. Our repair agreement is with you, not an insurer, and we will repair your vehicle as agreed upon with you.

Please select an option below

Clicking the boxes indicates you have read and agree to the following statement(s):

If you have elected and authorized the use of AM and/or salvage parts in the repair of your vehicle, you accept the full responsibility for their use. We have made clear that the use of AM and/or salvage parts in the repair of your vehicle may carry risks, including unknown risks as to the safety, crashworthiness, and/or ongoing performance of those parts, and the use of these parts is expressly against our professional advice. Therefore, you agree and acknowledge that we accept no liability for the use of AM parts and/or salvage parts in the repair of your vehicle, and you agree to indemnify us and hold us harmless for any and all actions, claims, or issues arising from or connected to the use of aftermarket parts and/or salvage parts in the repair of your vehicle.
l, the undersigned, hereby authorize Atomize Collision & Customs and its employees to repair my vehicle and to drive my vehicle for testing and/or inspection. If the vehicle is owned/leased by a corporate entity, LLC, or other legal entity, I hereby acknowledge that I have authority to execute this agreement on behalf of that entity and further agree to personally guarantee all costs incurred herein.
I understand that an express mechanic's lien is acknowledged on the vehicle to secure the amount of repairs.
I understand that Atomize Collision & Customs will not be responsible for theft of vehicle or missing articles left in vehicle such as but not limited to cell phones, cameras, sunglasses, credit cards, money, CD's, etc. Please remove all items from vehicle before or when you drop off your vehicle for repairs.
I understand that Atomize Collision & Customs will not be responsible for any auto rental costs during the repair process.
I understand that Atomize Collision & Customs will impose a $50.00 per day storage fee after 72 hours from the completion of the vehicle repair.

I further understand that Atomize Collision & Customs is unable to release any vehicle without payment for all costs of repair, including parts and storage, in full.
I am responsible for payment in full for the repairs of my vehicle, either before or after completion of work. I understand that while insurance may cover some or all repairs, that is a separate agreement between me and my insurance company and I personally am responsible for all costs, including parts, repair, and storage, under this Agreement.
Payment options: *Cash, *Debit Card, *Credit Card or *Insurance Checks (endorsed over to Atomize Collision & Customs)
**Sorry, No personal checks, or Amex.

I understand that my insurance company may only pay for aftermarket or used/salvaged parts. If this is the case, I may choose to use OEM parts at my own expense.
I authorize my insurance company to pay Atomize Collision & Customs direct for all supplemental and original repairs. I authorize Atomize Collision & Customs to endorse my name to any insurance checks received for payment for repairs of my vehicle.
By using this service, you agree that Atomize Collision & Customs may text you at the number provided. Message and data rates may apply.
By drawing your signature in the space provided above, and clicking the "complete authorization" button, you are consenting to use electronic records and signatures in connection with this transaction, confirming your name displayed above is correct and you understand and agree to the statements above as well as our Terms and Conditions for Use in Document Executions. Your electronic signature will be just as enforceable as signing the same document using a handwritten signature.
Digital Signature: 3137322e37302e34322e313932
IP Address: User Agent: CCBot/2.0 (https://commoncrawl.org/faq/)