Title Page

  • Store Name & ID

  • Conducted on

  • Prepared by

  • Are these repairs urgent?

Requested R&M's

    What repairs are required?
  • Please describe the issue.

  • Add photos

  • Exterior Issue
  • Please describe the issue

  • Add photos

  • Interior Issue
  • Please describe the issue

  • Photo (optional)

  • Electrical Equipment

  • Equipment Issue
  • Please describe the issue

  • Photo (optional)

Completion

  • Name and signature:

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