401-354-8600
Serving Rhode Island & nearby Massachusetts

DIRECTION TO PAY

North Providence Collision Center Inc.
3 Tag Drive
North Providence, RI 02911
Phone 401.354.8600 Fax 401.369.7492
RI Lic# 2020. Federal Tax ID# 47-4817391
Authorization to Repair

I hereby authorize North Providence Collision Center Inc. to perform repairs on my vehicle as described 
below, 
as per insurance company and/or customer's request to before accident condition.
Direction of Pay

I, [CUSTOMER NAME], give [CUSTOMER's INSURANCE COMPANY] permission to send all checks relative to the 
below referenced claim to North Providence Collision Center Inc. at 3 Tag Drive North Providence, RI 02911, which 
has preformed all repairs to my vehicle to my complete satisfaction.

Direction To Pay

Share by: