I/We (the owner of the client vehicle in the form herein attached that was damaged, authorise Insurance Solutions Providers (ABN 58 639 141 067) and any of its agents, directors or employees to act on my behalf in relation to my claim for the motor vehicle collision that was described in the form herein attached. I authorise Insurance Solutions Providers to engage on my behalf recovery agents or any other solicitors they deem fit to assist with my motor vehicle claim. In order to assist with my claim, I hereby authorise Insurance Solutions Providers and the solicitors they engage:
To act on my behalf as my agents in assigning recovery agents or legal representatives in relation to and with respect to the claim herein.
To enter into a cost agreement on my behalf.
To receive any correspondence from other relevant parties and respond on my behalf.
To receive and provide supporting documents in relation to my claim.
To engage in settlement discussions with other parties, lawyers, subrogated insurers, or any other parties with respect to the settlement of the claim as outlined in the form attached herein.
To make decisions as to settlement and any incidental matters in effecting settlement.
To appoint any expert or assessor to assist with my claim.
To advise and further commence legal proceedings should the need arise.
To receive and disburse settlement monies on behalf and as directed by the credit repairer whose details are outlined in the form attached herein.
I affirm that I will fully cooperate with all reasonable enquiries and requests of Insurance Solutions Providers in a timely manner.
I affirm that I will not negotiate with any insurance companies, individuals, businesses, solicitors, or any other interested entity nor admit liability throughout the duration of my claim.
I understand that I will be liable for the repair, hire car costs, and other associated costs that have been incurred by the repairer, hire car provider, towing companies, and Insurance Solutions Providers should there be no successful recovery against the third party or their subrogated insurers and/or agents.
I affirm that I fully understand this Authority to Act. I understand that my personal information and details will be stored under a secured database for the purpose of administering my claims only.
