Business owners can also download the pdf repair waiver form on the WaiverElectronic system.

Copperhead Refinishing Repair Authorization

800 E. Virginia Ave. Bldg. 9

West Chester, PA 19380

Tax ID: 45-0569264

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I authorize Copperhead Refinishing, Inc. to perform the repair work described on the repair estimate form, utilizing necessary labor, parts and materials. I agree that Copperhead Refinishing, Inc. is not responsible for loss or damage to the vehicle, or articles left in the vehicle, in case of theft, fire, or any other cause beyond our control. I agree that Copperhead Refinishing, Inc. is not responsible for delays caused by unavailability of parts, or delay in parts shipments by the supplier or transporter. I grant Copperhead Refinishing, Inc. employees’ permission to operate my vehicle for the purpose of testing and/or inspection. I understand if any closer analysis finds additional labor, parts or materials are necessary to complete the repair. I will be contacted for authorization, only if the amount of repairs that I will pay will be increased.

I acknowledge that this work authorization approves supplemental estimates. I agree that if I should halt repairs for any reason, I will be responsible for the cost of any and all repairs completed to that point, as well as the cost of the parts which are not returnable, or restocking fees charged to Copperhead Refinishing, Inc., if I chose not to purchase said parts outright. I am entitled to retain any parts I pay for that are not returnable to their vendors.



I hereby authorize any and all insurance payments and supplements for repairs made to my vehicle to be paid directly to the repair shop. 

I appoint Copperhead Refinishing, Inc. as my attorney in fact, to accept on my behalf and all checks, drafts, or bills of exchange, and to endorse all such checks, drafts, or bills of exchange for deposit to the Copperhead Refinishing, Inc. account, as credit on my account for repairs of my vehicle.


I expressly acknowledge a mechanics lien on my vehicle to secure the amount of the repairs. I agree to pay reasonable attorneys fees, fees and court costs in the event legal action is necessary to enforce this contract.


* Payment Policy *

We accept all major credit cards, insurance and personal checks, cash, or cashier checks.

Repair costs must be paid in full previous to vehicle release.

Pre and Post-Repair Diagnostic Scan Work Authorization Form

This diagnostic work authorization form grants Copperhead Refinishing, Inc. permission to perform a pre and post-repair diagnostic scan on your vehicle as part of the repair process. By accepting this procedure, you acknowledge and agree to the terms and conditions listed below. If you choose to decline this procedure, you acknowledge the repair shop will not be held liable for problems with the vehicle that cannot be detected without proper diagnostic scans.


Pre-Repair diagnostic scan – this is a complete health check of your vehicle and provides the repair shop (and insurance company, if applicable) a complete report on the number of computer modules on board, as well as any diagnostic trouble codes (DTC’s) that could indicate pre-accident and/or accident related damage. This essential step eliminates unnecessary delays waiting for parts and/or additional insurance authorizations, and identifies issues with the vehicle that could be missed without a pre-repair diagnostic scan.

Post-Repair diagnostic scan – this step ensures that all systems on your vehicle are in proper working order prior to delivery. It is important to note that the majority of DTC’s do not result in a malfunction indicator lamp (dashboard light). Failure to perform a post-repair scan by trained professionals with factory scan tools significantly increases the risk that your vehicle may be returned with malfunctioning, or inoperable, safety and convenience systems.  A post-repair diagnostic scan is the single best way to ensure that your vehicle is returned to pre-incident condition.

Data privacy:

In the process of performing a diagnostic scan, Copperhead Refinishing, Inc. will collect important historical vehicle data, including in some cases, the date, time and mileage of when a DTC was created. This information is helpful in understanding if a problem is accident related or pre-existing. It is possible this information will be shared with your insurance company. Your acceptance of this procedure and form grants Copperhead Refinishing, Inc. permission to share this information with others, including your insurance company. No personally identifiable information is collected during the pre or post-repair scan.


  • Diagnosing vehicles has limitations. In some cases, modified vehicles may give false DTC’s. Copperhead Refinishing, Inc. and its employees will not be responsible for omission or errors caused by the information provided, or not provided, by the customer.
  • All work performed by Copperhead Refinishing, Inc. will be in accordance with Original Equipment Manufacturer (OEM) specifications and defaults. This includes, but is not limited to, any repairs, calibrations, integrations, programming and set points as indicated by the OEM by way of their designated sources of such information. Copperhead Refinishing, Inc. is not responsible for any damage that results from, or to, aftermarket parts, or modifications from OEM factory specifications.
  • Variations between vehicles, according to the make model and trim level, may limit Copperhead Refinishing, Inc.’s ability to capture information during a pre or post-repair diagnostic scan.
  • Depending on the condition of the vehicle, and the extent of the damage, and other factors outside the control of Copperhead Refinishing, Inc., a factory scan tool may not see every system on the vehicle being scanned.
  • Copperhead Refinishing, Inc. is not responsible for any changes made to the vehicle after the vehicle leaves the Copperhead Refinishing, Inc. facility.

While Copperhead Refinishing, Inc. recommends a pre and post-repair scan on every vehicle, it is especially important for the vehicle owner to perform these functions on newer, highly optioned, heavily damaged vehicles. Failure to do so significantly increases the risk to the vehicle owner and occupants.