Title Page

  • Company Name

  • Location
  • Customer Purchase Order Number

  • Site Contact & Phone Number

  • Customer email address

  • Report Date

  • NHP Service Technician

  • NHP Service Order Number (SON)

Service Details

PRODUCT DETAILS

  • Product part number

  • Product serial number

  • Product Condition

  • Product picture

SERVICE DETAILS

  • Fault description

  • Description of work completed

  • Parts used in the repair

  • Is a follow-up visit required

TRAVEL & TIME ON-SITE DETAILS

  • Days on-site

  • Day
  • Date

  • Travel Time to Customer (hours)

  • Time Period (travel to site)

  • Working Hours on-site (hours)

  • Time Period (on-site)

  • Return Travel Time (hours)

  • Time Period (return travel)

SUMMARY & ACKNOWLEDGEMENT

  • Please note:
    (1) Parts and materials provided will be invoiced at the list price in effect at the time of service, unless agreed to by prior arrangement.
    (2) Non-local travel expenses, such as (but are not limited to) airfares, accommodation, permits, customs fees, parking and ground transportation will be charged based upon the actual incurred cost plus 15% administrative fee plus GST.
    (3) GST will be applied to all charges.

    I acknowledge that the information contained within this service report is an accurate record of the service provided by the NHP technician.

  • Customer Name & Signature

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