Sample Document · Step 1 of 3

Sample Written Repair Estimate

Prepared in the format required by Florida Statute 559.905. Customer and vehicle details shown are fictitious, for illustration only.

Repair Shop Stroke Auto (DBA of RDP Business Group LLC)
16416 Hamlin Hills Rd, Winter Garden, FL
(407) 305-0123
Customer John Doe (sample)
123 Sample St, Orlando, FL 32801
(407) 555-0100
Date & Time of Estimate 05/10/2026 — 9:15 AM
Proposed Completion Date 05/10/2026 (same-day, on-site)
Vehicle 2021 Toyota Camry SE
Odometer: 45,782 mi · Tag: SAMPLE1
Repair Order RO# 102567
Description of Problem / Request Front brake pads found low during Digital Vehicle Inspection; customer requests replacement.
Rate Basis Flat rate for this repair (Stroke Auto bills flat rate or hourly depending on service type).
DescriptionTypeAmount
Front brake pad replacement — laborFlat rate$120.00
Front brake pads (OEM-equivalent) — partsNew$85.00
Shop supplies & waste disposalFixed$12.00
Diagnostic / estimate fee (credited toward repair if authorized)Fixed$49.99
Estimated Total$266.99

This charge represents costs and profits to the motor vehicle repair facility for miscellaneous shop supplies or waste disposal.

Payment MethodCard on file (sample)
Alternate Authorized ContactN/A
GuaranteeParts & labor guaranteed 12 months / 12,000 miles, whichever comes first.
Replaced Parts☐ Save replaced parts for my inspection   ☐ Return replaced parts to me   ☒ I do not need the replaced parts (dispose)
Storage Charges $0.00 per day. Stroke Auto is a mobile-only service and does not take possession or store customer vehicles at any facility.

PLEASE READ CAREFULLY, CHECK ONE OF THE STATEMENTS BELOW, AND SIGN:

I UNDERSTAND THAT, UNDER STATE LAW, I AM ENTITLED TO A WRITTEN ESTIMATE IF MY FINAL BILL WILL EXCEED $150.

I REQUEST A WRITTEN ESTIMATE.
I DO NOT REQUEST A WRITTEN ESTIMATE AS LONG AS THE REPAIR COSTS DO NOT EXCEED $______. THE SHOP MAY NOT EXCEED THIS AMOUNT WITHOUT MY WRITTEN OR ORAL APPROVAL.
I DO NOT REQUEST A WRITTEN ESTIMATE.
Signed
Date

Sample for illustration purposes only — not a real transaction. Prepared per Fla. Stat. § 559.905.