Information

  • Customer Name

  • Customer Phone

  • Date

  • Location

  • IMEI

  • Phone Entry Photo

Type of Repair

  • Phone

  • Passcode

  • Enter Passcode:

  • Model/Issue:

  • Other

  • Explain:

Restore/Other

  • Does Customer want/need Device Restored/Updated?

  • Reason For RESTORE:

Other Services

  • Unlock

  • Phone Model:

  • IMEI

Device Settings Before/After Repair

  • Screen

  • LCD

  • Back Glass

  • Top Lock

  • Prox

  • Side Vib

  • Side Volume

  • Charge Port

  • Bottom Mic

  • Bottom Speaker

  • Top Speaker

  • Speaker Phone

  • Camera Front

  • Camera Back

  • Wifi

  • Service

  • Touch

  • Battery

  • Frame

  • Speaker Grill

  • Bottom Screws

  • DOA

  • Water-Damage

Client Signature

  • Signature/Printed Name: Customer agrees to the above terms

Miscellaneous

  • Repaired by:

  • Tech/Additional Notes:

  • Describe WARRANTY Type:

  • Additional Device/System Photo

  • Completed Repair Photo

Customer Log

  • Repair completed: called customer on:

  • Talked to:

  • Additional Follow Up Info:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.