The panel shop named above confirms that this matter is referred to Express Legal Services(Aust) Pty Ltd T/A Express & Co Lawyers for the recovery of costs/damages sustained by Vehicle registration above.

 

 

 

 

 

I/We instruct Express & Co Lawyers with the authority to act on my/our behalf to recover the losses arising from the collision as set out in this form.

 

I/We authorise Express & Co Lawyers to:

a. do all things necessary for the conduct of the recovery action, including settlement of the claim provided that the settlement sum covers all costs arising from the collision and I/We have no further liability to any person(s) / entity;

b. negotiate an agreeable cost of repairs directly with my referring repairer to enable a settlement to occur;

c. commence legal proceedings following any necessary advice from Express & Co Lawyers;

d. pay the referring repairer and any other service providers (e.g. assessor, rental vehicle provider) directly for any expenses properly incurred.

 

I verify that the details entered are true and understand that penalties can be enforced if any parts of the information provided above is fraudulent or deceptive in nature.

Authority to Act