// Required only if login is needed to perform the service. Stored securely and destroyed upon job completion.
// Service Requested
Virus / Malware Removal
Slow PC Tune-Up
OS Install / Reinstall
Hardware Upgrade
Data Backup / Restore
New PC Setup
Diagnostic Only
Other
Yes
No
N/A
Yes
No
Ask First
Yes (+$25)
No
// Device Removal from Premises (In-Home Visits Only)
// Complete this section only if the technician is taking the device from the customer's home.
Yes
No
Customer Authorization: I authorize FixedIt PC to take temporary possession of my device for the purpose of completing the requested service. I understand it will be returned upon completion and payment.
Customer Signature — Device Removal Authorization
Date & Time
By signing below, the customer acknowledges and agrees:
I have read and agree to the FixedIt PC Customer Agreement (separate document) and have received a copy for my records. I confirm the device information listed above is accurate and that all items listed under "Items Included" have been received by FixedIt PC. I understand that FixedIt PC is not responsible for pre-existing hardware conditions, data loss, or software issues unrelated to the requested service. I understand that hardware in a deteriorated or failing state may not survive the repair process, and FixedIt PC is not liable for such outcomes. I have been advised to back up all data prior to service. I understand that estimated completion dates are not guaranteed and may be affected by parts availability or other factors beyond FixedIt PC's control. For custom builds, I understand and agree to the Custom PC Build Terms outlined in Section 19 of the Customer Agreement, including the parts payment policy, price fluctuation terms, labor warranty, and manufacturer parts warranty.