MICHIGAN RV REPAIR · CUSTOMER INFORMATION
Repair Authorization Worksheet
A practical checklist for documenting permission, estimates and change approvals before repairs.
Updated November 1, 2026 · MichiganCustomer / RV and service-request record
This is an operational worksheet for preparing a transaction-specific work order. It is not an executed contract or substitute for a legally complete estimate, original signatures, recordkeeping, or approval procedures.
| Customer name | ________________________________________________ |
|---|---|
| Phone / email | ________________________________________________ |
| Service location | ________________________________________________ |
| RV year / make / model / VIN | ________________________________________________ |
| Requester authority | Owner ☐ Operator ☐ Renter / Other ☐ |
| Owner consent verified, if needed | Yes ☐ No ☐ Not applicable ☐ |
| Requested diagnosis / work | ________________________________________________ ________________________________________________ |
| Estimated parts & status | ________________________________________________ |
| Labor rate / estimated hours | ________________________________________________ |
| Travel / emergency / supplies fees | ________________________________________________ |
| Diagnostic and disassembly / reassembly charges | ________________________________________________ |
| Tax / total estimated cost | ________________________________________________ |
| Deposit (if any) and treatment | ________________________________________________ |
| Requested returned parts? | Yes ☐ No ☐ Subject to applicable law |
| Warranty terms delivered, if any | ________________________________________________ |
| Authorized maximum | ________________________________________________ |
| Customer authorization / date / method | ________________________________________________ |
| Additional work approval log | Person _________ Date/time _________ Amount _________ |
Keep a complete estimate and invoice using the required Michigan forms and disclosures. Review any special waiver or electronic consent with a qualified Michigan professional.