Midac - Service Report - Call Out

• Customer Reference Number

• Site of Completed Works

• Conducted on

  Date

• Conducted by

• Location
  Address

• Task Description

Truck Information

• Truck Manufacturer

• Truck Model

• Truck SN

• Min/Max Battery Weight

• Truck Photo

  Media

Battery Information

• Battery Manufacturer

• Battery Voltage

• Battery Cell Type

• Battery SN

• Battery Age

• Battery Photo

  Media

Charger Information

• Charger Manufacturer

• Charger Type

• Charger SN

• Charger Age

• Charger Input Phase and Voltage

• Charger Mounting Method

• Charger Photo

  Media

Findings and Solution

• Work Performed & Findings

• Solution

• FTF Complete

  Yes

  No

  N/A

• Parts Used

  Yes

  No

  N/A

• Parts Required

Further Comments

• undefined

• Was Additional Works Found?

  Yes

  No

  N/A

• Was this work completed?

  Yes

  No

  N/A

Customer Information

• Time Completed

  Date

• Name

• Contact Information

• Signature

  Sign