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Work Orders

Customer Details

Customer :

Requested By :

Service Type :

Charge Type :

Est. Service Time (hrs) :

Work Order Details

Issue Status :

Reference/PO # :

Scheduled Date/Time :

Assigned To :

Work Requested :

Point of Contact :

Attach File :

Note: up to 50MB file size. File Types allowed: .pdf, .jpg, .png, .doc, .xls

Add Item/s Dropped Off

Item :

I hereby acknowledge service charge indicated above, a 1 hour minimimum charge per technician (for hourly services), and I authorize Dimension Systems, Inc. to proceed with work requested. As per DSI policy, there is a 30-day limit to pick-up the equipment after it has been completed. Failure to adhere to this policy will result in disposal of equipment listed above at DSI's discretion and all charges will be billed accordingly.

Print Name :

Signature :

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