Electric Utilities Apps

Heating and Cooling Service Form

Capture client data and information about the service you performed with Fulcrum’s AC and furnace app.

Heating and Cooling Service Form iPhone, iPad Heating and Cooling Service Form Android Heating and Cooling Service Form Web, Desktop
Heating and Cooling Service Form

Bill To...

Contact Name

Address

Info

This work is to be

Make

Model

Serial #

Job Name

Job Address

Date

Description of Work Performed

Recommendations

LIMITED WARRANTY: All materials, parts and equipment are warranted by te manufactures' or suppliers' written warranty only. All labor performed by the above names company is warranted for 30 days or as otherwise indicated in writing. The aboce named company makes no other warranties, expressed or implies, and its agents or technicians are not authorized to make such warranties on behalf of the above named company.

Total Summary

Service Charge ($)

Bid Job ($)

Discounts ($)

Rebates ($)

Other ($)

Tax ($)

Total ($)

Materials & Services

Quantity

Materials & Services

Unit Price

Total Amount

Ref Type

Added

Removed

Services

Hrs

Technician

Rate

Service Amount

I have the authority to order the work outlined above which has been satisfactorily completed. I agree that this company retains title to equipment/materials furnished until final payment is made as agreed, company can remove said equipment/materials at the company expense. Any damage resulting from said removal shall not be the responsibility of the company. The company reserves the right to recover losses including but limited to attorney fees.

Customer Signature