iPhoneTodd Repair Form

• Customer Name:

• Customer Phone:

• Conducted on

  Date

• Location

  1400 E Division St 47711

  5435 Pearl Dr STE 2 47712

• Serial Number:

• Device Entry Photo

  Media

Repair Type

• iPad

  Select 1 2 3 4 mini

  • 1
  • 2
  • 3
  • 4
  • mini

• iPod

  Select 2 3 4 5 classic

  • 2
  • 3
  • 4
  • 5
  • classic

• Tablet

  Kindle Fire

  Other

• If Other Explain:

• DIO FIRST! Call Before Repair With Issue/Price

Device Information

• Is there a Passcode

  No

  Yes

• Color of Device

Restore

• Does Customer want/need device Restored/Updated?

  Yes

  No

• Reason for Restore?

  Select Disabled iTunes Mode Apple Mode Forgotten Passcode Back To Factory Set Update

  • Disabled
  • iTunes Mode
  • Apple Mode
  • Forgotten Passcode
  • Back To Factory Set
  • Update

Device Settings Before/After Repair

• DOA

  Select YES NO

  • YES
  • NO

• Screen

  Select Before: Cracked Before:Shattered Before:Bad Touch Before: Good After: Fixed After: Same After:Good

  • Before: Cracked
  • Before:Shattered
  • Before:Bad Touch
  • Before: Good
  • After: Fixed
  • After: Same
  • After:Good

• LCD

  Select Before: Good Before: Bad After: Good After:Bad

  • Before: Good
  • Before: Bad
  • After: Good
  • After:Bad

• Top Lock

  Select Before: Good Before: Slightly Bad Before: Bad After: Good After: Fixed After: Same

  • Before: Good
  • Before: Slightly Bad
  • Before: Bad
  • After: Good
  • After: Fixed
  • After: Same

• Side Volume

  Select Before: Good Before: Bad After: Good After: Bad After: Fixed

  • Before: Good
  • Before: Bad
  • After: Good
  • After: Bad
  • After: Fixed

• Frame

  Select Before: Good Before: Slightly Bent Before: Bent Before: Very Bent After: Good After: Slightly Bent After: Bent After: Very Bent

  • Before: Good
  • Before: Slightly Bent
  • Before: Bent
  • Before: Very Bent
  • After: Good
  • After: Slightly Bent
  • After: Bent
  • After: Very Bent

• Charge Port

  Select Before: Charge Before: No Charge After: Charge After: No Charge

  • Before: Charge
  • Before: No Charge
  • After: Charge
  • After: No Charge

• Front Camera

  Select Before: Good Before: Shutter Not Open Before: Cloudy/Fuzzy After: Good After: Fixed After: Same

  • Before: Good
  • Before: Shutter Not Open
  • Before: Cloudy/Fuzzy
  • After: Good
  • After: Fixed
  • After: Same

• Back Camera

  Select Before: Good Before: Shutter Not Open Before: Cloudy/Fuzzy After: Good After: Fixed After: Same

  • Before: Good
  • Before: Shutter Not Open
  • Before: Cloudy/Fuzzy
  • After: Good
  • After: Fixed
  • After: Same

• Bottom Speaker

  Select Before: Good Before: Bad After: Good After: Bad After: Fixed

  • Before: Good
  • Before: Bad
  • After: Good
  • After: Bad
  • After: Fixed

• HeadPhone Jack

  Select Before: Good Before: Bad After: Good After: Bad After: Fixed

  • Before: Good
  • Before: Bad
  • After: Good
  • After: Bad
  • After: Fixed

• Touch

  Select Before: Good Before: Bad After: Good After: Bad After: Fixed

  • Before: Good
  • Before: Bad
  • After: Good
  • After: Bad
  • After: Fixed

• DOA

  Select Before: Yes Before: No After: Good After: Fixed Unrepairable

  • Before: Yes
  • Before: No
  • After: Good
  • After: Fixed
  • Unrepairable

• Water-damage

  Select Yes- NO Warranty No Slightly- NO Warranty

  • Yes- NO Warranty
  • No
  • Slightly- NO Warranty

• Additional Repair Photos

  Media

WARRANTY (please read before signing)

• WARRANTY: 60 day warranty on most installed device parts only (except: iPad mini/iPod battery repairs 30 day warranty on installed part only). There will be a 14 day warranty on Devices/Systems purchased in store (warranty coverage terms listed below). 30 day Warranty on most Computer and Gaming installed parts only (NO WARRANTY or MONEY BACK ON VIRUS REMOVAL, RED RING/YELlOW LIGHT. There is $10 Fee for Unsuccessful Gaming Treatments)
  WARRANTY does NOT cover: DOA, Physical damage, Liquid-damage, Heat/Cold damage, items opened by any other party other than iPhoneTodd.com before/after a repair is completed, case damage, jail broke/altered software, Bent Frames or items severely damaged. NO WARRANTY on anything where the logic/ motherboard has to be heated or use heat to complete a repair. This includes Red Rings/Yellow Light repairs and any type of soldering; due to the risk of devices/systems not turning back on. iPhoneTodd.com is not responsible for any issues that may occur during/after any water-damaged item is repaired (including not turning back on). If a water treatment has to be pro formed; there are NO warranties and this ONLY guarantees that we will try to get the device ON (any additional parts need to complete the repair will be an additional cost with no warranty on part). NOTE: There are also NO guarantees as to how long anything water damage will work: day, week, month, year; every device is different). iPhoneTodd.com is not responsible for any lost data/information/software/pictures that may occur during a repair process. It is the customers responsibility to back anything up prior to having any repair done. Most repairs done by iPhoneTodd will VOID the manufactures warranty.
  ATTENTION CUSTOMERS: Any devices/systems left 60 days after a repair is complete WILL be forfeited and become property of iPhoneTodd.com, as an attempt to recover the loss of wages from that repair.
  *** ABSOLUTELY NO refunds/money back/exchanges/store credits on any REPAIRS/LABOR/PARTS or Otterbox/Speck cases. NO money back on any deposits made for special order parts that have to be ordered. Seven day return policy for all other accessories with a proper receipt.****
  iPhoneTodd.com has the right to refuse service.

Customer Signature

• Customer agrees to the above terms

  Sign

Miscellaneous

• Tech:

• Tech/Additional Notes

• Completed Repair Photo

  Media

Customer Log

• After DIO, Received ok to Repair? If YES, Spoke With?

  No

  Yes

• Completed/Called On:

  Date

• Spoke With:

  Select Customer/Other Left V/M V/M Full V/M Not Set Up No Contact Number Other (see Notes)

  • Customer/Other
  • Left V/M
  • V/M Full
  • V/M Not Set Up
  • No Contact Number
  • Other (see Notes)

• Additional Follow Up Info: