Get Esurance Direction Of Pay/repair Authorization - Delta Collision

Filling out the Esurance Direction Of Pay/Repair Authorization form is crucial for ensuring that your vehicle repairs are authorized and payments are directed appropriately. This guide will provide clear, step-by-step instructions on how to complete this form online.

Follow the steps to successfully fill out your repair authorization form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the vehicle owner's name in the designated field. This is the person who owns the vehicle that requires repairs.
3. Fill out the vehicle description fields, providing details such as the year, make, model, and VIN (Vehicle Identification Number). Accurate information in these sections is essential for processing your repair authorization.
4. Input your claim number in the corresponding field. This number may be provided by your insurance carrier and is necessary for tracking your claim.
5. In the section labeled 'I hereby authorize,' clearly indicate the name of the repair facility where the vehicle will be repaired. This facility will prepare the necessary estimate for the repairs.
6. Acknowledge your understanding of the authorization by reading the statement regarding the insurance company’s responsibility for payment. You will need to agree to these terms as part of the form.
7. The vehicle owner must sign the form in the designated signature area. Additionally, include the date of signing to document when the authorization was granted.
8. Include the verbal authorization time and date in the respective areas once the repairs are authorized. This helps ensure that both you and the repair facility are on the same page.
9. Finally, the repair facility representative must sign and date the form. This signature confirms that the facility agrees to conduct the repairs upon your authorization.
10. Once all fields are complete, save your changes, and consider downloading, printing, or sharing the form as needed for your records.

Complete your Esurance Direction Of Pay/Repair Authorization form online today to ensure your vehicle repairs are processed efficiently.