Pro-MEC Customer Sign Off Sheet

• Job #

• Customer

• Customer PO#

• Address

• Phone

• Fax

• Location
  Address

• Equipment Type

• Root Cause

  Mechanical

  Electrical

  Software

  Other

• Problem Definition

• Services Rendered

Equipment/Parts (include part description, the part #, and if it was installed or needs to be ordered)

• Part 1

• Part #2

• Part #3

• Part #4

• Part #5

• Part #6

• A return trip is required

  Yes

  No

  N/A

Time Tracking - Sunday

• # of techs

• Total travel time

• Arrival time on site

  Date

• Departure time from site

  Date

• Total time on site

Time Tracking - Monday

• # of techs

• Total travel time

• Arrival time on site

  Date

• Departure time from site

  Date

• Total time on site

Time Tracking - Tuesday

• # of techs

• Total travel time

• Arrival time on site

  Date

• Departure time from site

  Date

• Total time on site

Time Tracking - Wednesday

• # of techs

• Total travel time

• Arrival time on site

  Date

• Departure time from site

  Date

• Total time on site

Time Tracking - Thursday

• # of techs

• Total travel time

• Arrival time on site

  Date

• Departure time from site

  Date

• Total time on site

Time Tracking - Friday

• # of techs

• Total travel time

• Arrival time on site

  Date

• Departure time from site

  Date

• Total time on site

Time Tracking - Saturday

• # of techs

• Total travel time

• Arrival time on site

  Date

• Departure time from site

  Date

• Total time on site

• Technician's Name

• Technician's Signature

  Sign

• Date

  Date

• Customer's Name

• Customer's Signature

  Sign

• Date

  Date