Repair Authorization Form
Repair Authorization Form
Please fill out this form to authorize the necessary repairs on the item.
Customer Information
Name
Address
Phone number
Item Details
Item
Make
Model
Description of Issue
Terms and Conditions
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Repair Authorization: The customer authorizes [Your Company Name] to inspect the equipment. Additional costs may apply if unforeseen damages are discovered during the repair process.
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Payment and Liability: Full payment is required upon completion of repairs. [Your Company Name] is not liable for any damages resulting from pre-existing conditions or third-party modifications.
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I have read, understood, and agree to the terms and conditions outlined above.
Name:
Date:
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