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Device Repair Work Order Form

The document is a Device Repair Work Order Form that requires users to fill in their personal information, device details, and the nature of the repair needed. It includes sections for diagnostic fees, estimated repair prices, and technician assignment. Users must also indicate the status of the repair and any relevant notes.

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c90607517
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37 views3 pages

Device Repair Work Order Form

The document is a Device Repair Work Order Form that requires users to fill in their personal information, device details, and the nature of the repair needed. It includes sections for diagnostic fees, estimated repair prices, and technician assignment. Users must also indicate the status of the repair and any relevant notes.

Uploaded by

c90607517
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

In order to submit this form, you should open it with Adobe Acrobat Reader.

Device Repair Work Order Form


please answer as accurately as possible

Name *

First Name Last Name

Phone Number *

Area Code Phone Number

Email

example@example.com

Date *

Month Day Year

Device Make and Model *

Serial # *

Is the device displaying?


YES
NO

Diagnostic fee collected?


YES
NO

Brief description of the problem *

1
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Estimated Repair Price

Enter price here if not available above:

Deposit on repair paid?

Please Select the Repairs *


Charging port Mouse
Touch (Digitizer) Keyboard
Screen replacement Fan
Battery replacement Circuit Board repair
Hard Drive Application problem
Optical drive No power Diagnostics
Antenna repair/ replace Heat sink
Housing / Back glass replacement HDD reprogram
AC Adapter CPU
Hinge RAM memory
CD-ROM Removable drive
Touchpad (Laptop) Wi-fi /Bluetooth card
Virus removal Won't boot (hardware)
Won't boot (software issue) No Display
FRP bypass Flash
Factory reset Network unlock
Microphone repair/ replace Power button repair
Microsoft Office Antivirus Installation
Circuit board installation Other

Pick Up time

Hour Minutes

Pick up date
2
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Month Day

Technician
Ackeme Odane Shane
Jeffrey Chucky Shakur

Representative

Notes on repair

Repair Status
Incomplete In progress
Complete Not Working Out

Tags
Todo
In Progress
Done

3
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