Repair intake form — fill it in online and download the PDF

Type in your details and get a ready repair intake form: one A4 page as a PDF, with your workshop name, your phone number and your terms in the header. Free, and with no sign-up.

The only thing you must fill in is the workshop name. After that it is up to you: fill in your own details and terms, print a stack and write the rest by hand at the counter — or fill in everything at once and print the form for a particular device.

Your workshop

Printed in the header of the form. Only the name is required here.

Workshop name

Address

Phone

Received by (name)

Your terms

What stays the same from one repair to the next. An empty field simply stays a blank line on the form.

Proceed without approval up to

Free storage, days

Warranty on the work, days

The warranty covers

This particular repair

Needed only if you are printing the form for a device already on the counter. Leave it empty and the form keeps plain lines to fill in by hand.

Form number

Date received

Customer: name or company

Customer phone

Customer address

Device type

Brand

Model

Serial number / IMEI

Reported fault — in the customer’s words

Condition

Accessories

Ready by

Or diagnosis by

Estimated price

Language of the form UkrainianRussianEnglishGerman

Website

Type the code from the picture

This replaces «I am not a robot»: no third-party services, the code lives only in your session.

Download PDF

Nothing you type is stored: the form is built, handed to you and forgotten. No database, no log, no e-mail — your customer’s details stay with you alone.

Nothing you type is stored

Your customer’s name and phone number are not our data, and we have no reason to keep them. So there is no database here, no log and no e-mail to ourselves: the PDF is built in memory, handed to you and gone. Close the page and nothing is left of your form — not with us either.

The code from the picture is the one thing we ask for. Without it bots work through the form overnight and it stops working for people. One code per visit: you can correct and rebuild the form as often as you like.

What comes out on the page

The same form we give away blank — one A4 page, built from the twelve-point list on the repair intake form page:

• a header with the workshop name, address and phone;
• number, date of intake and the name of the person taking the device in;
• the customer: name, phone, address if needed;
• the device: type, brand, model and serial number — four boxes, so there is no argument at handover about whether this is the same device;
• the reported fault, in the customer’s words rather than your diagnosis;
• condition and accessories: tick boxes (scratches, chips, cracks, dents, signs of moisture, signs of earlier repair; charger, cable, case, SIM, remote, box) and a line of your own;
• the date, the estimated price and the amount above which you call the customer;
• how many days a finished device is kept free of charge, and how long the warranty runs;
• a warning that the device memory may be erased during the repair;
• the customer’s signature under the description of condition and accessories;
• a tear-off collection note at the bottom of the page.

Fields you leave empty stay ordinary lines to write on — the form does not break because of it.

How workshops use it

A stack of forms for the counter. Fill in only “Your workshop” and “Your terms”, print fifty sheets and leave them by the till. The rest is written by hand — but the storage period, the warranty and the no-approval limit are already printed, so nobody forgets to write them in.

A form for one particular repair. Fill in everything and print two copies, one for the customer and one for you. Convenient while you take in a handful of devices a day.

The language of the form is not tied to the language of this site: pick any of the four — Ukrainian, Russian, English or German. The customer gets the document in the language they read.

If you have nothing to fill in

The same intake form is also available blank, as a file you can simply print:

Next to it there is the certificate of completed work — the second document, the one handed over when the customer collects the device.

When there are too many forms

Paper stops coping not when there is a lot of it, but when you have to find something in it. “Where is the laptop that came in two weeks ago, and what happened to it?” — and the stack gets leafed through. ServiceCenterSoft prints this same form already filled in, from what was typed at the counter, and the device then lives in the software: status, work log, an estimate sent for approval as a link, and the certificate at handover.

• The form stays yours. Logo, company details, terms and warranty are edited by the workshop itself under “Print forms”, not by a programmer.
• The language of the document is separate from the language of the software. Your staff work in their own language while the form prints in the one chosen for documents.
• Several branches — each with its own details in the same template.

You can see what that looks like from the inside in the demo — no sign-up there either.

Questions we get about this form

Is it really free? Yes. It is not a trial and not a cut-down version: make as many forms as you need.

Can I put my own logo on it? Not on this one — it is the same for everybody. Your own logo and your own layout come with the software.

Can I edit the finished PDF? It is made for printing, not for editing. If something needs changing, go back to the form, fix the field and download it again.

Does a form like this count as a document? An intake form is your agreement with the customer, and what carries weight in it is not the layout but what is written in: the description of condition, the accessories and the customer’s signature. The form leaves room for each of those. If you have your own rules of business or industry requirements, check with a lawyer — this template has not been agreed with anyone.

Where is the data I typed stored? Nowhere. See above.