I, as owner/driver of motor vehicle registration number, (REGO) which was damaged in the collision on date and location (DATE AND LOCATION) hereby authorise My Lawyer Melbourne, to act on my behalf in relation to the collision described on this form including :
- I AUTHORISE my repairer/ authorised agent to:
1.1 - prepare/organise an estimate of repairs necessary to restore the vehicle to its condition prior to the collision (the repair);
1.2 - engage a qualified motor vehicle loss assessor to inspect the vehicle and assess the reasonable cost of repairs;
1.3 - Perform the repairs in accordance with the assessment including subletting any part of the repairs to qualified repairers as necessary;
1.4 - drive and store the vehicle necessary for the purposes of the estimation, assessment and performance of the repairs.
2. AUTHORISE my repairer/ authorised agent to pursue recovery of the cost of the repairs, assessment fee together with any other losses I may suffer as a result of the collision (my claim) form the persons responsible for the happening of the collision (the third party) and for that purpose to, as principal, instruct My Lawyer Melbourne to:
- 2.1 - deal direct with the third party and any insurer or other representative of the third party regarding recovery of my claim;
- 2.2 - sign on my behalf any document in respect to my claim, including a document settling my claim;
- 2.3 - commence and conduct legal proceedings in my name for recovery of my claim; and
- 2.4 - take any other steps reasonably necessary to recover my claim.
3. I AUTHORISE and DIRECT the third party and any insurer or other representative of the third party required pay any monies in respect of my claim to pay any and all such monies to My Lawyer Melbourne
4. AUTHORISE the repairer/ authorised agent to apply any amounts recovered from the third party first to payment of any costs, including legal costs incurred in pursuing recovery then to payment of the cost of the repairs, then to payment of the balance of my claim (if any).
5. I agree to cooperate with the lawyers instructed by the repairer/authorised agent including signing necessary documents and attending Court as required
6. This document may be used as evidence of my authority in any legal proceedings which may arise.
I acknowledge that My Lawyer Melbourne are to act in accordance with the information that I have supplied and if I fail to update my contact information, they may cease acting on my behalf.
