Sifu Techs – Device Intake & Service Agreement v2.3
Document device intake, photos, accessories, service terms, and signatures for mobile use at client locations.
Customer Information
Customer Name
*
First Name
Last Name
Customer Email
*
example@example.com
Customer Mobile Number
Please enter a valid phone number.
Format: (000) 000-0000.
Square Appointment / Invoice #
Service Type
*
Please Select
Pickup for Repair
On-Site Service
Drop-Off
Data Recovery
Diagnostic Only
Other
Device Information
Device Type
*
Please Select
MacBook
iMac
Mac mini
Mac Studio
Windows Laptop
Windows Desktop
iPad
iPhone
External Drive or Storage
Other
Manufacturer / Brand
*
Please Select
Apple
Dell
Lenovo
HP
Microsoft
ASUS
Acer
Samsung
Custom Built
Other
Model
Serial Number / Service Tag
Device Login Access
*
Please Select
No login password required
Customer will unlock the device
Temporary login password provided separately
Login credentials not provided
Serial Number / Service Tag Photo
Device Condition & Photos
Condition at Time of Intake
*
Normal wear
Scratches
Dents
Cracked display
Chassis damage
Missing screws
Liquid damage or corrosion
Does not power on
Battery swollen
Other visible damage
No obvious physical damage
Existing Damage / Condition Notes
Front / Top of Device Photo
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Back / Bottom of Device Photo
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of
Screen / Display Photo
Upload a File
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of
Existing Damage Photo
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of
Additional Device Photo
Upload a File
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of
Reported Problem
Customer Reported Issue
*
Technician Initial Notes
Accessories Received
Accessories Received
Device only
Power adapter
Power cable
External hard drive
USB flash drive
Carrying case
Keyboard
Mouse
Dock
Other
Accessory Notes / Identification
Accessory Photo
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of
Service Authorization & Important Terms
Acknowledgement
*
I acknowledge and agree to the service terms and important information above.
Diagnostics, repairs, operating system repair or reinstallation, storage testing, data transfer, and data recovery can involve some risk of data loss. Data recovery is not guaranteed, and customers should keep backups whenever possible. Full policies are available at www.SifuTechs.com.
Unclaimed equipment may be subject to storage, final notice, disposal, recycling, data destruction, or other action allowed by the service agreement and applicable law. Full policy details are available at www.SifuTechs.com.
Customer Signature
*
Sign with your finger or mouse on the device.
Customer Printed Name
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Technician Name
*
Submit
Submit
Should be Empty: