PC Service Intake Form

Last updated: October 2025

Fill this form at the start of each visit. Use it to confirm contact details, device info, reported issues, backup status, and authorization.

1) Client Information
2) Device Information
3) Reported Issues / Request
4) Backup Status

Need a step‑by‑step? See the Backup Procedure Checklist.

5) Windows 11 Upgrade Eligibility (optional)

See the Windows 11 Upgrade Checklist.

6) Authorization & Signatures
Client signature
Tech signature

By signing, client authorizes troubleshooting/repairs/upgrades and acknowledges responsibility for maintaining their own backups unless otherwise agreed.

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FAQ

  • Do I need to print this?

    No — you can fill it digitally and use the Print button above to save as a PDF. If you need signatures, print the final version.

  • Is my data backed up?

    Backups are recommended before upgrades or repairs. See the Backup Procedure Checklist or ask me to perform a verified backup first.

  • How do I pay?

    I accept cash or card; card payments are processed securely online and an itemized receipt is provided.