Title Page
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Repair/Service Company Name
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Repair/Service Company Address
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Repair Order Form Prepared By
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Customer Name
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Contact Number
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Payment Method
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Billing Address
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Repair/Service to be Completed in Customer's Location/Address?
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Customer's Location/Address same as Billing Address?
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Customer's Location/Address
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Date & Time of Order
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Order Number
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Expected Completion Date & Time
Order
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Automotive Repair?
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Year/Make/Model
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Serial Number
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Mileage
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Type of Service Requested
- Lube
- Oil Change
- Spark Plugs
- Flush Trans.
- Flush Diff.
- Wash
- Polish
- Tune Up
- Minor Overhaul
- Major Overhaul
- Other
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Please specify.
Repair/Service
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Technician Assigned
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Description of Repair/Service
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Photo Before Repair/Service
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Repair/Service Start Date & Time
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List of Issues Encountered
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Off-site Needs
- No Off-site Needs
- New Parts
- Replacement Parts
- Fix Parts Off-site
- Other Technician
- Other Tools/Equipment
- Other Off-site Needs
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Please specify.
New Part
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Type & Description of New Part
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Cost of New Part
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Order New Part From
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Name of Company/Business
Replacement Part
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Why the Current Part Needs to Be Replaced
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Photo of Current Part
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Type & Description of Replacement Part
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Cost of Replacement Part
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Order Replacement Part From
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Name of Company/Business
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Which parts need to be fixed off-site?
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Why do they need to be fixed off-site?
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Notified customer that parts need to be fixed off-site?
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Estimated Time to Fix Parts
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Expected Completion Date
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Cost of Labor to Fix Parts
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Reason Why Another Technician is Needed
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Explained reason to customer?
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Estimated Arrival Date & Time of Other Technician
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Description of Tools/Equipment Needed
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Requested tools/equipment from head office?
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Estimated Arrival Date & Time of Tools & Equipment
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Notified client that other tools/equipment needed?
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Repair/Service End Date & Time
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Photo After Repair/Service
Cost of Repair/Service
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Parts
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Labor
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Tax
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Total
Repair/Service Completion
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Technician
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Customer
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Payment Received On
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Approved By