Authorization Form - Automotive ECU Reset

Authorization Form - AUTOMOTIVE ECU RESET

AUTHORIZATION FOR AUTOMOTIVE ECU RESETTING: I hereby certify that I have the authority to order the lock, key, or security work designated above: order keys and/or immobilizer system reset services for the vehicle indicated below. I agree that the information I am providing is true and correct. Further, to the maximum extent permitted by applicable law, I agree to indemnify and hold harmless the service provider listed below and related parties providing security information from any and all liability or claims that may arise from the performance of this service. I further agree to indemnify the automaker and their affiliates, successors, assignees, and nominees from any and all claims, losses, or costs (including reasonable attorney's fees) arising from any acts or omissions of the service provider, the service provider’s employees, subcontractors, or agents. By signing below I hereby authorize ABA Services Inc. to perform the work indicated below. I have the authority to have this work performed on the vehicle and have provided the required documentation. For 3rd party repairs, I agree to correctly determine the owner of the vehicle and will gain his/her permission to have this procedure done. I will collect his/her full name, address, telephone number, License plate number, Vehicle Identification Number (VIN), year, make, and model of the vehicle for which the Engine Control Module, ECU or ICU unit is to be used.

DISCLAIMER FOR ELECTRONIC SERVICES: ABA Services Inc. does not warrant any circuitry in the Engine Control Module, ECU or ICU unit supplied to us. No liabilities for any use of the modified Engine Control Module, ECU or ICU are assumed whatsoever for any costs, claims, or damages filed for or caused by incorrect use of the modified Engine Control Module, ECU or ICU unit.

Service Request

Vehicle Owner/Customer Details

Customer Address

Vehicle Details

Authorization Details

Digital Signature