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All Device Repair Form

Customer Name

Type of Device

Type of Device
A
B
C
D

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

Dis the Device need to be opened for Repair
A
B

Parts Needed and Costs Associated

Repairs done this visit

Future warnings or recommendations to customer

Could a PM Scan be completed after Repairs?

Could a PM Scan be completed after Repairs?
A
B

Final Notes on Device