Page 1 of 1

No Warranty On Work Performed — Acknowledgement

The Work Being Performed On Your Vehicle Is Being Carried Out On A No-Warranty Basis. This May Be Because Of The Condition Of The Vehicle, The Age Or Condition Of Related Components, The Nature Of The Repair, Or At Your Direction. Please Understand: No Warranty, Express Or Implied, Applies To This Work — Including Parts And Labor. If The Concern Returns Or Related Components Fail, Any Further Work Will Be At Your Expense. Gearhead Automotive Services Ltd. Has Advised You Of This And Is Proceeding Only With Your Understanding And Consent.

Work Order Number (WO#)

Customer Full Name

Vehicle (Year / Make / Model)

Acknowledgement

Reason This Is No-Warranty (Advisor Note)

Type Your Full Name To Confirm

Date

Signature

Signature