Field Forms
Repair Order / Direction of Payment. Complete and sign below — your submission goes straight to the office.
The Ding Xpert LLC
Dallas–Fort Worth Area, TX · (469) 400-0322
Customer Information
Vehicle Information
Insurance Information
Authorization
I authorize for this to serve as my direction of pay and grant The Ding Xpert LLC permission to get paid for repairs. I agree that The Ding Xpert LLC 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 authorize The Ding Xpert LLC to operate the vehicle for testing and/or inspection. I acknowledge that if closer analysis reveals additional repairs are necessary, either I or my insurance company will be contacted for authorization. The total amount of repair charges must be paid before the vehicle can be released. I authorize any and all supplements payable to The Ding Xpert LLC. I authorize The Ding Xpert LLC to use photos and videos of my vehicle for marketing purposes.
Customer Signature
Sign below using your finger or mouse
Submission goes directly to The Ding Xpert LLC office
The signed repair order has been sent to the office.