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All Device Repair Form
Customer Name
*
Type of Device
*
A
Desktop
B
Laptop
C
Tablet
D
Phone
Issue as explained by Customer
*
Description of Device
*
Initial Impressions of issue at Intake
*
Diagnostics Ran and Results
*
Dis the Device need to be opened for Repair
*
A
Yes
B
No
Parts Needed and Costs Associated
*
Repairs done this visit
*
Future warnings or recommendations to customer
*
Could a PM Scan be completed after Repairs?
*
A
Yes
B
No
Final Notes on Device
*
Submit