Quality Office, Inc.
Service Information Form
Completion of this form is required for service.
*REQUIRED ITEMS* Please bring the required items listed below.
Power Adapters, Any discs provided by Apple, Peripherals (if involved in the experienced problem).
Owner’s Name:___________________________________________ Contact Name: __________________________________
Date & Time: ____________________________________________________________
Address:_______________________________________________ City/ZIP: __________________________________________
E-Mail: ________________________________________________ Phone#: __________________________________________
Login Password (This is the same password requested when installing some software): ____________________________
Type of equipment: desktop computer laptop computer monitor printer other _______
Initial Equipment/software checked in with item(s): ____________________________________________________
here:
____________________________________________________________________________________
____________________________________________________________________________________
Description of problem or work to be done: (please be as detailed as possible. Lack of detail could result in a denial of
warranty service from Apple if no problem is found) ______________________________________________________________
*If necessary, may we delete all files (data and software programs) in order to re-install the
operating system and make the computer functional again?
yes no (If 'no', customer will be contacted first if the procedure is required)
Initial Notice: Customers are responsible for their own data. We take no responsibility for data loss. When possible, personal data
here: backup will be attempted to the best of our abilities with no guarantees.. If we are required to perform a full system backup
prior to work being performed, it may result in a fee of $24.95 to cover the cost of labor. Data backup is not
covered under the warranty terms.
Initial In the event of a system software restoration, Quality Office, Inc. is only responsible for the reinstallation of the original Apple
here: provided software under terms of warranty. Third party applications may be reinstalled under the cost of labor at Customer's
request @ $10 per title when coupled with a warranty repair or approved repair estimate.
Initial Any items left over 45 days from the date of the repair will be considered abandoned and sold to cover any expenses accrued
here: by Quality Office, Inc.
Initial If the device must be checked in for diagnostic, a minimum $59.95 diagnostic fee will be charged. If the device is covered
Here: under an Apple warranty, the fee will be waived for covered repairs. For non-covered repairs the fee will be waived upon
repair estimate approval.
Customer Signature:______________________________________________________________________________________
Receiving Employee:______________________________________________________________________________________
Quality Office, Inc.
Service Information Form
Completion of this form is required for service.
This section is for office use only
____________________________________________________________________________________
Manufacturer’s Warranty: yes no Warranty/APP Dates: Start_________ End_________
Equipment under AppleCare Protection: yes no
Device Info:
Full Model Name: _____________________________________________
Serial Number: _____________________________________________
OS Ver: ____________
iLIfe Ver: ___________
MLB Config: ______________
Memory: ____________ HDD: _________
Description of Problems Observed:
(No charges will be made if Apple Warranty or APP covers the completed repair.)
Estimate: $
Associate:______________________ Customer Approval: ______________________
(Signature) (Signature)