Device Return / Delivery Confirmation

Device Return / Delivery Confirmation

Confirm the repaired/service device return details, receipt confirmation, and any exceptions.
Customer Name

First NameLast Name
Device
Return Method
Date & Time Returned

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Device Returned to Customer
Accessories Returned
This confirmation records receipt of the listed equipment and accessories, not approval of new work or charges, a guarantee of device operation, or a waiver of invoice disputes or nonwaivable rights. Approved performed services are payable under the previously accepted authorization and signed agreement. Sifu Techs is cashless; card charges require documented authorization. Courtesy pickup/return remains free when offered and confirmed. Repair and data recovery are not guaranteed; the 14-day labor warranty applies only to completed repairs under the policies. Read Sifu Techs Service Policies
Customer Receipt Confirmation
Customer Signature
Technician Name

First NameLast Name
Notes / Exceptions
Should be Empty: