Authorization

Complete our online authorization form to get your repair started quickly and conveniently. This form grants us permission to perform the necessary repairs on your vehicle.

Have questions? We're here to help!

Call Now: (305) 633-0917

Fill out the form below — you'll sign in 3 places

Type directly. The invoice preview below updates as you type. All 3 signatures are required to submit.

Customer Information

Your Details

Full Name *

Phone Number *

Email Address *

Street Address *

City *

State *

Zip Code *

Description of Damage / Vehicle Problem *

Photo of Driver's License *

Click to upload

Vehicle Details

VIN # *

Year *

Make *

Model *

Insurance Information (Required if using insurance)

Claim #

Insurance Provider

County Required

After reviewing the information below, please sign the signature fields. To change or correct information, edit the form above.

Please Read Carefully, Check One of the
Statements Below, and Sign:

I understand that, under state law, I am entitled to a written estimate if my final bill will exceed $100.

REQUEST A WRITTEN ESTIMATEI DO NOT REQUEST A WRITTEN ESTIMATE AS LONG AS THE REPAIR COSTS DO NOT EXCEED $

THE SHOP MAY NOT EXCEED THIS AMOUNT WITHOUT MY WRITTEN OR ORAL APPROVAL.

I DO NOT REQUEST A WRITTEN ESTIMATE.

Signature

Date:May 07, 2026

COMPANY INVOICE

MV:MV58798

MVR:MVR-01290

Address:3600 NW 24th Street, Miami, FL 33142

Phone Number:(305) 633-0917

Name:

Address:

City:

State:

Zip:

Phone:

Date:May 07, 2026

X INVOICEX ESTIMATE

* U/Used R/Repaired A/Aftermarket S/Straightened

LABOR HOURS

QTY	*	Part	Description	Body	Paint	Frame	Mech
			CUSTOMER COMPLAINT/PROBLEM:
			CLAIM #:

All parts and labor are warrantied for months / miles unless otherwise stated.

Vehicle Information

VIN:

Yr/Make:

Model:

Save Parts:

NoYes

Core may apply

Charges based on:

Hourly RateFlat RateBoth Apply

Estimate Diagnosis:

Fee: $

Hourly at $/hr.

Payment Method:

CashCheckVisaMCAmex

Estimated Cost: $

**This charge represents costs and profits to the motor vehicle repair facility for miscellaneous shop supplies or waste disposal.

***s. 403.718, F.S. mandates a $1.50 fee for each new or manufactured battery sold in the State of Florida.

Estimate good for 30 days. The facility is not responsible for damage caused by theft, fire, or acts of nature. I authorize the above repairs to my vehicle including the necessary materials and sublet work. You and your employees may operate my vehicle for the purpose of testing, inspection, and delivery at my risk. If I cancel repairs to my vehicle for any reason, I understand that a tear-down and reassemble fee of $385 will apply. I understand that a charge of $100 per day will be charged if I fail to pick up my vehicle within (3) working days of notification of completion.

Signature

Date:May 07, 2026

Body Hours/@	$60	Parts:	$
Paint Hours/@	$60	Labor:	$
Mech Hours/@	$100	**Shop Sup:	$
Paint Supplies		Sublet:	$
Body Supplies		***Fees:	$
Tow Storage:	$220/200	Subtotal:	$
Epa/Waste		Tax:	$
Miscellaneous	$	Total:	$

E-Sign Consent

Consent to Electronic Communications & Signatures

I authorize Rainbow Paint & Body Shop, Inc., to contact me about my repair via phone, email, or text message and agree to any data rates that may apply. I may opt out of communications at any time.

I agree that this Authorization Form may be executed and delivered by electronic signatures in accordance with the ESIGN Act and UETA. I acknowledge my electronic signature has the same legal force and effect as a handwritten one.

Final Signature

This is your final E-Sign consent.

Sign to complete authorizationDate: May 07, 2026