Title Page
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Document No.
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Use customer. Mr X. X.
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Town
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Conducted on
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Prepared by
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Location
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Your name
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Attended date
Vehicle details
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Odometer reading
Customer details
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Customer address
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Customer telephone number
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Customer email
Reported faults
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Enter reported fault
Electronic diagnostic
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Electronic diagnostic performed
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Reported fault codes
Mechanical diagnostics
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Mechanical tests performed
Diagnosis
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Reported diagnosis
Remedial work
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Remedial work required
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Remedial work requested by customer
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Remedial work carried out
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Follow up required
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Follow up details
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Follow up chargeable
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Added to schedule
Payment method
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Parts cost
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Labour cost
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Total cost
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Chargeable hours
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Payment method
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Engineers signature
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Customer signature