Reading METLIFE DTP
Submit signed & completed form to MetLife Auto & Home as an attachment or as a digital photograph.
Original to be retained at shop and produced upon request.
Shop Name: Auto Body Clinic Inc. (781-944-0033), Address: 17-19 High Street, City: Reading
Federal Tax Identification Number (TIN): 042-694-666
Vehicle Owner Name: Vehicle Owner Email: Vehicle Model:
State: MA, Zip code: 01867-3117
Claim Number: , Vehicle Year: , Vehicle Make: , VIN:
I hereby authorize said facility to commence repairs upon my vehicle. Furthermore, I authorize MetLife Auto & Home to issue any payment to the aforementioned facility and, mail said payment directly to this repair facility.
Leave this empty:
If you have questions about the contents of this document, you can email the document owner.
Document Name: Reading METLIFE DTP
Agree & Sign