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RTA DOCUMENTATION
Right to Appraisal Authorization
Customer Name
*
First
Last
Insurance Company
*
Claim Number
*
Policy Number
*
Year / Make / Model
*
VIN Number
*
To whom it may concern,
Consent
*
The customer and Collision Training Institute agree that this Right to Appraisal Authorization may be executed and delivered by electronic signatures and that the signatures appearing on this Right to Appraisal Authorization Form have the same force and effect and is the legal equivalent of your manual signature.
*
Electronic Signature
*
Please enter your full name as it appears on your license or photo ID.
Bill Vallely (President, CTI)
________________________________________________
(Signature)
{name:3.3} {name:3.6}
Vehicle Owner
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Phone
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