Vehicle Repair Summary

Vehicle Repair Summary Report

Once the vehicle safety related repairs have been completed, use this form to report the requested final information.

1Contact information

2Repair Information

3Financial Information

4Wrap-It Up

Automotive Repair Shop *

Automotive Repair Shop Contact Name (Who is completing this form?) *

First

Last

Client / Customer Name *

First

Last

If you would rather complete a paper copy of the form, print the PDF document. Or complete the form online using the fillable PDF.