Time and Material Service Request Form

Time and Material Service Request Form
BILL TO
Company Name
Contact Name
Phone Number
Format: (000) 000-0000.
Email Address
Billing Address

Street Address

Street Address Line 2

CityState

Zip Code
JOB INFORMATION
Job Site Name
Job Site Address

Street Address

CityState / Province

Postal / Zip Code
On-Site Contact Name
On-Site Contact Number
Arrival Window
How Early & Late Can We Arrive
Reason for work request / repairs
- Truckee Meadows Electric, Inc. service terms on a Time and Material Basis are as follows:
- Minimum Trip charge for mobilization work / diagnosis of issue is $750.00 (covers up to 3 hours of work)
- Rate after first 3 hours: $130 per hour, per technician.
- Material cost will carry a 20% handling fee
- Terms of payment, due upon receipt of invoice
- All invoices sent electronically to billing contact information above
- If a Certificate of Insurance is required, this must be requested at or before the time of service call By signing below, I acknowledge and agree to pay Truckee Meadows Electric, Inc. on a Time & Materials basis for the labor and materials incurred to complete the service work.
Signature
Date

MonthDayYear
350 Holcomb Ranch Lane #110, Reno, NV. 89511 / 775-825-2414 - NV License #20794A / CA License # 816352
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