Sifu Techs – Intake & Authorization

Sifu Techs – Device Intake & Service Agreement

Document device intake, photos, accessories, service terms, and signatures for mobile use at client locations.
Customer Information
Customer Email
example@example.com
Customer Mobile Number
Please enter a valid phone number.Format: (000) 000-0000.
Square Appointment / Invoice #
Service Type
Device Information
Device Type
Manufacturer / Brand
Model
Serial Number / Service Tag / Asset Tag
OCR Autofill
Device Login Access
Device Condition & Photos
Condition at Time of Intake — Select All That Apply
Liquid Type
Existing Damage / Condition Notes
Front / Top of Device Photo

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Back / Bottom of Device Photo

Cancelof
Screen / Display Photo

Cancelof
Existing Damage Photo

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Additional Device Photo

Cancelof
Reported Problem
Customer Reported Issue
Technician Initial Notes
Accessories Received
Accessories Received

Other
Accessory Notes / Identification
Accessory Photo

Cancelof
Service Authorization
Review our Service Policies before signing.

We are cashless. A valid credit card is required for new bookings, subject to a controlling signed agreement. Charges require documented authorization. Payment for approved work performed is due before equipment return, unless otherwise agreed or required by law.
Required acknowledgment

By signing, I confirm ownership or authority, agree to the Service Policies, and authorize only the scope, fees, and spending limit in my approved estimate or service authorization. Approved diagnostic and cancellation-related labor may remain payable without a completed repair. I understand disclosed offsite/private-workshop arrangements. Quote-only requests authorize no paid work; additional work requires approval. Signed agreements and nonwaivable rights remain controlling.
Customer Signature

Sign with your finger or mouse on the device.
Customer Printed Name
Technician Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Should be Empty:

Sifu Techs – Device Intake & Service Agreement

Customer Information

Device Information

Device Condition & Photos

Reported Problem

Accessories Received

Service Authorization