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Please be thorough and specific so that we do not continue bothering you while on other jobs.


Please fill out the information below to report the issues with the appliance(s) to the office.
Work Order # & Name*
Is The Job Completed?*
Type of Appliance and Make*
Model #*
Serial #
Color of appliance.
Approx. age of appliance.
Gas Or Electric
Standard Or Self-Cleaning
Type of Refrigerator
Part that has malfunctioned
Description Of Malfunction.*
Reason For Malfunction?*
Part(s) Number And Our Cost, (Include other items needed, such as Freon, Clamps, Hose, Wiring etc.)*
How many hours needed to complete job?*
Do You Recommend This Appliance Be Replaced Or Repaired?*
If NEEDS, Replaced, List Size And All Specifications.
Service Fee Collected. (Click Box)*
How Service Fee Was Collected
Check #
Amount Collected?*
Customer E-mail for receipt.*
Additional information.