Information
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Company Name
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Company Contact
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Sales Order Number
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Conducted on
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Technician Name
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Location
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Time of Arrival
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Contact Information
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Issue Reported
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Equipment Worked On
Equipment
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Description/Model
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Serial Number If Applicable
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Was There Equipment Replaced?
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Manufacture Name and Part Number
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Cost of Parts
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Pictures of Equipment and Parts
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Additional Notes
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Time of Departure
Completion Of Service
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Was the service completed
- Completed
- Incomplete
- Functional but still needs areas of improvement
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What areas need further attention, and what is suggested to be done?
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Technicians Signature
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Customer signature upon completion of work
Service Time And Cost
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Was this job covered under warranty?
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Did you drive to the job site?
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How many hours of drive time were involved.
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How many miles did you drive?
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Did you fly to the jobsite?
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What was the cost of flight and parking if any?
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Did the job require you to stay overnight?
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What was the lodging cost?
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Where did you stay?
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How many hours did the job take?
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Were there any issues out of your control that made the job take longer than is should have?
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What were the Issues? Please be very detailed.
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Technician Signature
