PDF (A4) PDF (US Letter) Word Back
Business name, address, phone
REPAIR JOB SHEET
Job no.
Date in
Promised by
Customer
NamePhone
EmailContact me by: ☐ Call ☐ Text ☐ WhatsApp ☐ Email
Device
Type (phone, laptop, console…)Make and model
Serial number / IMEIPasscode needed for testing: ☐ Given separately ☐ Not needed
Left with the device: ☐ Charger ☐ Cable ☐ Case ☐ SIM card ☐ Memory card ☐ Box ☐ Other: ____________
Condition at drop-off: ☐ Scratches ☐ Dents ☐ Cracked screen ☐ Signs of liquid ☐ Does not power on ☐ Good
Notes:
Fault reported by the customer
 
Estimate and approval
Diagnostic feeEstimated repair costDeposit paid
Call me before any work above: ____________   ☐ I have backed up my data, or I accept that it may be lost during repair.
Terms (sample: edit to suit your business and local law)
  1. The estimate is not final until the device has been inspected. We contact you before any work above the amount you set.
  2. We are not responsible for data on the device. Please back it up before drop-off.
  3. Repair warranty: ____ days on the parts and labour listed below, for the same fault.
  4. Please collect your device within ____ days of our "ready" message. After that, storage charges or other steps permitted by local law may apply.
Customer signature (drop-off)
Received by (staff)
Work done and pickup
Labour / partsQtyAmount
   
   
   
Total 
Paid: ☐ Cash ☐ Card ☐ Bank transfer   Balance due: ________   Collected on: ________   Customer signature: ______________
- - - - - - - - - - - - - - - - - cut here and give to the customer - - - - - - - - - - - - - - - -
Keep this slip to collect your device.
Business: ______________________   Phone: ________________
Job no. ____________
Date in ____________
Free template from İşletme Yönetim, isletmeyonetim.com/en. Sample document, not legal advice.