VIP Pickup Completion
VIP ID
*
Company Name
*
Company Email (internal reference)
example@example.com
Technician Name
*
Pickup Address
*
Street Address
Apartment #
City
State / Province
Postal / Zip Code
Washer?
*
Please Select
Yes
No
Washer Asset ID
*
ONLY ASSET ID IN THIS SPACE
Dryer?
*
Please Select
Yes
No
Dryer Asset ID
*
ONLY ASSET ID IN THIS SPACE
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Technician Notes
*
Dryer plug- Dryer placement- Notes-
Example: Whirlpool Thermal Fuse WP3392519
Asset ID / Serial Plate Photos
*
Browse Files
Drag and drop files here
Choose a file
Asset IDs, serial plate
Cancel
of
Damage Photos
Browse Files
Drag and drop files here
Choose a file
Attach damage photos when damage is present.
Cancel
of
All items returned? (power cord, etc)
Please Select
Yes
No
Damage to units?
Please Select
Yes
No
Condition Notes
Example: Whirlpool Thermal Fuse WP3392519
Technician Signature
*
ARC Account Link Token
ARC Job ID
*
Prefilled from the ARC job record. Do not change.
Continue
Continue
Should be Empty: