Work Order Form

Work Order #

Date

Customer Name

Service Location - Street

Service Location - City

Bill To

Authorized By

Technician Name

Materials (include quantities)

Recommendations

Description of Work

Labor

Unit data (required)

After Hours

Signature

I have the authority to order the work outlined above which has been satisfactorily completed. I agree that Seller retains title to equipment/materials furnished until final payment is made. If payment is not made as agreed, Seller can remove said equipment/materials at Seller's expense. Any damage resulting from said removal shall not be the responsibility of seller.