Document Instructions Below:
About This Form
The Work Authorization form gives written permission for the Contractor to perform repairs at the loss address and establishes the payment structure, draw schedule (if used), and the Terms & Conditions of the job. It protects both the Owner and the Contractor by documenting scope, responsibilities, and how funds will be handled.
- Authorizes work to begin at the specified property.
- Aligns costs with the original estimate, approved supplements, and signed change orders.
- Clarifies payment (endorsements, escrow, draws) and late-payment interest.
- Captures digital signatures from both Owner and Contractor representative.
- Print-ready record for customer files, insurance, and compliance.
What You’ll Need Ready
- Contractor/company name and County
- Owner name, phone, and loss address
- Cause of loss and approximate loss date
- Insurance company and (optional) claim number
- (If applicable) Mortgage company and loan number
How to Use It
- Enter project details — Fill in Contractor, County, Loss Address, Cause of loss, and Date.
- Add owner & contact info — Enter Owner’s name and a reliable phone number.
- Financials — Provide Insurance/Mortgage info and any Payment / Endorsement Notes (e.g., escrow handling, co-payees).
- Set a draw schedule (optional) — Add milestones and amounts (e.g., Mobilization, Drying Complete, Final).
- Review Terms & Conditions — Expand, read carefully, and check the agreement box.
- Sign digitally — Have the Owner and Contractor representative sign in the signature boxes and print their names.
- Print the record — Click Print Form to generate a copy for the Owner and your job file.
Important Notes
- Contractor is not affiliated with the insurance company or its adjuster.
- Owner pays any non-covered items (deductibles, betterment, depreciation, or requested extras) on or before completion.
- Payments not made per schedule are delinquent after 10 days and accrue interest at 1% per month until paid.
- No completion date is guaranteed due to the nature of the work; verbal agreements are not binding.
Tip: Keep draw descriptions clear (what triggers each draw) and align change orders with written approvals to avoid disputes.