The Short Pay Disclosure & Customer Acknowledgment Form is designed to inform auto body shop customers about their rights when insurance companies refuse to fully pay for necessary repairs—commonly known as “short pays.” This form explains what a short pay is, outlines the customer’s right to a safe and proper repair based on OEM standards, and clarifies potential out-of-pocket responsibilities. It protects both the customer and the repair shop by documenting the customer's understanding and consent to proceed with repairs despite insurance shortfalls.