Power of Attorney Form - B & E Collision

<h4>B&E Collision - Power of Attorney Form</h4>

Being a customer of B&E Collision, I give them authority to endorse, in my name, any insurance or supplement check or related document that is received after the vehicle has been released to me.

First Name
Last Name
Date
Today's Date
I AGREE TO THE ABOVE TERMS AND CONDITIONS

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<h4>B&E Collision - Power of Attorney Form</h4>

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