Hardware Replacement Sheet
<COMPANY NAME>
Phone : 03-5519 xxxx
Fax : 03-5519 xxxx
Customer Section
Reported By
:
Problem
Category
Customer
:
Report Date
:
Attend Date
:
Positio n
:
Description / hardware :
Corrective
:
Preventive Maintenance
Upgrade / Replace
:
:
Others
(please specify)
<COMPANY> Section
Attended by
Start Time
Complete Time
Others
(if applicable)
:
:
:
:
Description
:
Countermeasure
:
Job Status
:
Receive
Actual Time
Total Claim
Pending
Complete
:
:
:
(Time/Date)
(Hours)
(RM)
Delivered / Date:……………
Acknowledgement section
<COMPANY> Signature
Date
:
Time
:
Customer signature and cop
Date
:
Time
: