Cousin's Collision Center - Logo

Serving Woonsocket and the surrounding areas

We take Pride in our Workmanship.

* Required

I hereby authorize Cousin’s Collision Center to perform repairs on my vehicle as described below,

as per insurance company and/or customer's request to before accident condition.

Authorization to Repair

Direction of Pay

I, [CUSTOMER NAME], give [CUSTOMER's INSURANCE COMPANY] permission to send all checks relative to the below referenced claim to Cousin’s Collision Center at 45 Foundry Street, Woonsocket, RI 02895-5120, which has preformed all repairs to my vehicle to my complete satisfaction.

Cousin’s Collision Center

45 Foundry Street, Woonsocket, RI 02895-5120

Phone: 401-766-7679 Fax: 401-765-8020