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.
iPhone, iPad
Android
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
