Call Us Now (866) 366-1773
Mon-Fri 8AM-5PMSat 9:00AM-1PM (MA)
Your Full Name* (required)
Date* (required)
Your Phone* (required)
Your Vehicle Year/Make/Model* (required)
Vehicle VIN Number* (required)
Your Email* (required)
WAIVER AGREEMENT
I have read and agree to the waiver terms below.* (Required)
REAL AUTO GLASS OF FLORIDA LLC ADAS CALIBRATION WAIVER FORM After windshield replacement, the forward-facing camera (ADAS – Advanced Driver Assistance Systems) may lose its original factory alignment, affecting the proper operation of safety systems.
These systems include, but are not limited to:
Automatic emergency braking
Lane departure and lane keeping assist
Forward collision warning
Pedestrian detection
Adaptive cruise control
Calibration is the technical procedure recommended by the manufacturer to restore proper operation.
CUSTOMER STATEMENT
I acknowledge that I have been clearly informed that:
Failure to calibrate may cause serious safety system malfunctions.
The vehicle may fail to brake when needed or brake unexpectedly.
Operating without calibration increases the risk of accidents, property damage, serious injury, or death.
The vehicle may operate outside manufacturer specifications.
Insurance companies and manufacturers may deny coverage related to ADAS failures.
Despite understanding these risks, I choose NOT to proceed with calibration at this time and assume full responsibility.
I hereby release Real Auto Glass of Florida LLC from any legal, civil, or financial liability related to the ADAS system.
Customer Signature* (required)