Assignment
Of Proceeds
& Direction To Pay

In exchange for excusing me from making immediate payment for repairs to my motor vehicle and/or releasing a possessory lien that DIGITAL CUSTOM AUTO BODY has or may have the right to assert, I hereby assign all proceeds that have accrued or may accrue under my insurance contract relating to my claim (outlined below) for repair costs to my motor vehicle to DIGITAL CUSTOM AUTO BODY.

THE UNDERSIGNED HEREBY AUTHORIZES THE BELOW-NAMED INSURANCE COMPANY TO PAY DIGITAL CUSTOM AUTO BODY DIRECTLY FOR THE REPAIRS PERFORMED ON THE VEHICLE ON MY BEHALF.

And by completing this form under the direction to pay plan portion, I understand that if any payments come to myself in error, I will forthwith that payment to DIGITAL CUSTOM AUTO BODY immediately.