Document Solutions Inc. Customer Service Call

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

DOCUMENT SOLUTIONS INC. 500 GARDEN CITY ROAD MONROEVILLE, PA 15146 Phone: 412-373-6500 / Fax: 412-810-1111

• Date Called In / Ordered

• Select date

  Date

• Customer's Name:

• Contact:

• Address:

• City:

• State:

• Zip:

• Phone:

• Ext:

• Make:

• Model:

• Serial Number:

• Problem:

• Service Performed

• Incompleted - YES Reason:

• Meter A:

• Meter B:

• Page Count:

HARDWARE SOFTWARE

• Date:

  Date

• Time In:

  Date

• Time Out:

  Date

HARDWARE SOFTWARE

• Date:

  Date

• Time In:

  Date

• Time Out:

  Date

HARDWARE SOFTWARE

• Date:

  Date

• Time In:

  Date

• Time Out:

  Date

HARDWARE SOFTWARE

• Date:

  Date

• Time In:

  Date

• Time Out:

  Date

PARTS USED:

• QTY

• NUMBER

• Description

• Price

• Amount

PARTS USED:

• QTY

• NUMBER

• Description

• Price

• Amount

PARTS USED:

• QTY

• NUMBER

• Description

• Price

• Amount

PARTS USED:

• QTY

• NUMBER

• Description

• Price

• Amount

PARTS USED:

• QTY

• NUMBER

• Description

• Price

• Amount

PARTS USED:

• QTY

• NUMBER

• Description

• Price

• Amount

• TOTAL PART

• LABOR/SERVICE

• TAX

• DEL. CHARGE OR MILEAGE

• TOTAL

Hours/Miles

• TOTAL HOURS

• TOTAL MILES

Credit Card Information

• Credit Card #

• Expiration Date

• Code

Customer / Tech Signatures

• Customer Name

• Customer Signature

  Sign

• Tech Signature

  Sign

• Date Completed

  Date