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Device Information
Device Type
Pattern Lock (optional — draw on dots)
Draw a pattern through the dots to set a device unlock pattern.
No pattern set
Fault Description
Device Condition on Arrival
Component Good / OK Minor Damage Major Damage Non-Functional N/A — Unable to Test
Screen / Display
Case / Chassis
Ports / I/O
Power Button / LEDs
Back Cover / Body
Charging Port / USB
Headphone Jack
Buttons / Controls
Front Camera
Rear Camera(s)
Speaker / Microphone
Accessories Received with Device
Job Settings
$
If set, we will contact you before exceeding this amount.
Customer Disclaimer

By signing below I confirm: (1) I am the owner or am authorised to act on the owner's behalf; (2) I authorise the business to inspect, diagnose, and provide a written repair quote; (3) I am solely responsible for backing up all data — no liability is accepted for data loss during service; (4) Repairs will NOT proceed without my authorisation of the quoted price; (5) A diagnostic/assessment fee may apply if a quoted repair is declined after inspection; (6) Devices uncollected after 60 days may be recycled or disposed of.

Diagnostic fee: $82.50 may apply if a quoted repair is declined after inspection.
Customer Signature
Customer Signature — authorising device intake and terms & conditions
Sign above
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