Auto Repair Intake Form

An Auto Repair Intake Form allows automotive service shops to collect vehicle specifications and customer contact details during the service registration process.

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Intake

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Auto Repair Intake Form

Welcome to our shop. To help us get your vehicle back on the road as quickly as possible, please fill out this Auto Repair Intake Form with your current details and your car's specific needs. Please ensure all information is accurate so our technicians can provide the correct service.


Your details


Confirm & submit

By signing below, you confirm that the vehicle and contact details provided are correct. You authorize us to use this information to manage your repair orders, coordinate service updates, and contact you regarding the status of your vehicle.

Sign here

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About this template

The Auto Repair Intake Form is a digital template used to collect customer details and vehicle specifications before work begins. This form allows you to customize fields, add your company branding, and organize the intake process in one place.

  • Customer contact information
  • Vehicle make, model, and year
  • VIN and mileage
  • Detailed description of the requested service
  • Authorization for test drives
  • Terms of service and property release

Automotive shops use this form for track day registrations, test drive authorizations, and standard repair intakes. It helps service providers document the vehicle condition and gather necessary permissions before high-risk operations.

Signing MethodBest Use Case
Kiosk TabletIn-person check-in at the service desk
Mobile LinkSending to customers via text or email before arrival
Embedded FormIntegration directly into a booking website

Once you have customized your fields, you can share the form via a direct link or embed it on your website. All signatures are collected digitally and stored for easy retrieval.

Questions about this waiver

What specific vehicle details should I include in my Auto Repair Intake Form?
You should include fields for the VIN, make, model, year, and current mileage, as well as a section for the customer to describe the specific mechanical symptoms or requested repairs.
Can I add a section for 'Pre-existing Damage' to the intake form?
Yes, you can add custom text fields or checkboxes to document existing scratches, dents, or dashboard warning lights before the vehicle enters your shop.
How can customers sign the intake form when they drop off their car?
You can set up a tablet at your service counter as a kiosk, allowing customers to read the terms and sign the Auto Repair Intake Form on the spot.
How do I handle intake forms for vehicles that are dropped off after hours?
You can email the form link or send it via SMS, enabling the customer to complete the vehicle details and sign the document from their phone before arriving.
Can I organize my completed intake forms by vehicle or customer name?
The software allows you to filter and search through your collected signatures, making it easy to find a specific vehicle's intake record in your dashboard.
Is it possible to embed this intake form on my shop's appointment page?
Yes, you can embed the form directly into your website so customers can provide their vehicle information during the booking process.

This template is framed for US and provided as a software tool, not legal advice. Waiver enforceability varies by jurisdiction and circumstance — confirm the final wording with your own counsel before relying on it.

Card photo by Peter Broomfield on Unsplash