NCR General Sign Off

• Store Name:

• Date

  Date

• Customer:

• Store Name:

• Site Address:

• Engineer Name:

• Install Date & Time:

  Date

• Job Description:

• ATM Serial number that works has taken place on:

• How many bolts fitted in machine:

• Picture showing the silicon sealant around the ATM facia:

  Media

• What ATM Components have been removed, i.e. Router/Signage/Plinth

• Comments / Notes / Snags:

• Has the site been left clean & clear of any debris:

• Customer Signature:

  Sign

• Engineer Signature:

  Sign

Photos:

• Relevant Photos:

  Media