Home
About
Services
Referral
Reviews
Process
Gallery
Home
About
Services
Referral
Reviews
Process
Gallery
Please enable JavaScript in your browser to complete this form.
-
Step
1
of 16
DFWSS Repair Authorization
Just answer a few simple questions and we can start the process of restoring your vehicle!
Before we begin you'll want your Drivers License and Insurance Card ready!
$0 Deductible!
Free Loaner Car!
Rates Won't Increase!
CLICK NEXT TO START
Next
Name
*
First
Last
Previous
Next
Address
Address Line 1
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Previous
Next
Phone
Next
Would you like text message updates on your repair?
If yes, please provide your Mobile Carrier below - if no, just tap NEXT
Previous
Next
Email
*
Previous
Next
Do you remember the date your vehicle was damaged?
If you don't - you can leave this blank
Previous
Next
Vehicle Information
Tell us about your vehicle
Year
*
Make
*
Model
*
Color
Previous
Next
Insurance Information
To help us expedite your repair
To help us expedite your repair
Insurance Company (Geico, Progressive, AMAX, etc...)
Policy Number
Deductible Amount
Previous
Next
Have You Filed a Claim For Your Hail Damage?
Yes
No
What is the Claim Number?
Would you like us to file the claim on your behalf?
Yes
No
Previous
Next
Do you have rental car coverage on your insurance policy?
Yes
No
Not Sure
Previous
Next
Which DFW Storm Solutions Representative are you working with?
If you don't remember you can leave this blank - type "website" if you got here from our website link
Previous
Next
It's a good idea to make sure your roof is in good shape after hail. You qualify for a FREE roof inspection - would you like us to do one?
Yes
No
Previous
Next
Notes/Messages/Special Requests
Previous
Next
Terms & Conditions
*
I agree to terms & conditions.
I hereby authorize the repair of my vehicle. I agree that DFW Storm Solutions (DSS) is not responsible for loss or damage to this vehicle and/or articles left in the vehicle due to fire, theft, or any other causes beyond its control. I also hereby grant permission to this company’s employees to operate the vehicle for the purpose of testing and/or inspection or transporting. Further, I acknowledge that if closer analysis reveals additional repairs are necessary, my insurance company will be contacted for authorization of any additional repair charges. I authorize DSS to use paintless dent repair on any panels or parts deemed as replacement or conventional repair when possible. Old parts will be thrown away unless otherwise instructed. I authorize DSS to to manufacture access to dents that may not be accessible due to their location on the vehicle. I acknowledge that parts fail from time to time and repairs done by DSS are purely cosmetic and non-invasive, therefore, have nothing to do with the mechanics of the vehicle. The total amount of the repair charges must be paid before the attached vehicle can be released for delivery. If insurance coverage pays either a portion of or the total amount due, I acknowledge that the insurance check/draft must be obtained by me or sent in advance by the insurance company. I also acknowledge that I must make arrangements with any lien holder or other payees to endorse the insurance check /draft prior to the release of the above repaired vehicle. I authorize any and all payments payable directly to DSS for consideration of the repairs made to the vehicle. I agree to be contacted by DSS in the future as it relates to hail storm damage. I hereby authorize DSS to act as power of attorney to sign or endorse checks and/or drafts made payable to me and any release thereto, as settlement for my claim for damage to this vehicle. If I withdraw my vehicle without completed repairs, or my vehicle is deemed a total loss, I agree to pay storage fees, insurance consultation fees, rental costs, administrative fees, and any and all applicable fees. DSS is not responsible for prior damages listed on the vehicle diagram on the back of this page. Additional unrelated prior damage may be found once the vehicle is brought the shop and examined more closely. It will be documented and the insured will be notified. DSS is in no case, responsible for any extra insurance above and beyond liability, for the rental vehicle. An “appearance allowance” or “part allowance” may also be applied to help offset the price of the deductible. To secure payment in amount of repairs, and expressed mechanics lien on the vehicle is acknowledged and I further agree to pay reasonable attorney’s fees and court costs in the event that legal action becomes necessary to enforce this contract. I understand the mechanics lien will not be released until payment has been made and has been received in full and authorize repossession of my vehicle if I fail to make payment. In the event of any oversights on the vehicle, DSS reserves the right to complete repairs and address any further issues. In the event of another weather storm, while my vehicle is in DSS possession, I will be responsible for filing another claim and DSS will waive the deductible. If I have rental insurance, I authorize the use of my rental reimbursement coverage, if built into my policy. Any rental reimbursement will be payable to DSS. I acknowledge I have 24 hours after notification of a car completion to pick up my vehicle or I will be charged a $45 a day storage fee. I agree to pay all toll road costs while the rental vehicle is in my possession within 14 days of received invoice.
Previous
Next
Signature
Submit