Onsite Installation – Signature Popup, Larger Font Onsite Installation Form Basic Information Date Job Number Unable To Install Full Name Email Phone +61 AU +91 IN +1 US +44 UK Installation Address Stairs Select Stairs - No Stairs - Yes Customer Pays for Stairs? Select Yes No Service Details Service Type Audio/Video Installation Appliance Installation Audio / Video Installation Equipment Type TV Projector Sound System TV + Projector TV+Sound Projector + Sound System All Other!! TV Size (Inch) Select TV Size Upto 64 Inches 65" To 75 Inches 76" To 89 Inches 90 Inches To Over Technician Pre-Installation Checklist Job Details Verified Preinstall Observations / Notes Recorded Safety / Hazard Verified – Proceed Only if Safe Required Tools & Materials Ready Installation Point & Measurements Checked Equipment Verified Installation Area Prepared Space & Mounting Compatibility Checked Before Installation Photos Taken Safety Measured Checked Job Notes / Observation Recorded All Checked Service Provided Wall Mount Table Top On Stand Delivery Removal of Old Bracket Warranty Inspection - Faulty Product Warranty Inspection - Installation Fault Service Call Return To Store/HDC Condition Operational Yes No Faulty/Damaged Yes No Box Damaged Yes No Fault/Damage Area & Details Extras Supplied HDMI Cable AV Setup Cable Concealment Extra Appliance Installed Removal of Old TV Soundbar Mounting Wall Bracket Smart Setup Antenna Cable Not Applicable Customer Pays for Extras? Yes No Paid in full? Yes – Paid in Full Store will cover the costs Customer refuse to pay No – Payment Pending Sign-Off Leakage Checked – No Leaks Detected (If Applicable) Installed & Levelled Tested Area Cleaned Box /Packaging Removed Customer Satisfied Technician Post-Installation Checklist Device Functional Test Performed & Working Satisfactorily Area Cleaned Customer Sign-Off Obtained Safety / Hazard Check – Installation Safe Packaging / Rubish Removed Customer Feedback / Satisfaction Recorded Job Notes / Observation Recorded Installation checked and approved Tested Tools Collected After Installation Photos Taken Customer Demonstration Completed All Checked Appliance Installation Appliance Type Select Dishwasher Washer Dryer Other!! Please Specify Appliance Type Technician Pre-Installation Checklist Job Details Verified Preinstall Observations / Notes Recorded Safety / Hazard Verified – Proceed Only if Safe Required Tools & Materials Ready Installation Point & Measurements Checked Equipment Verified Installation Area Prepared Space & Mounting Compatibility Checked Before Installation Photos Taken Safety Measured Checked Job Notes / Observation Recorded All Checked Checks WaterYesNo DrainYesNo LeakageYesNo Photos TakenYesNo TestedYesNo Condition OperationalYesNo Faulty/DamagedYesNo Box DamagedYesNo Fault/Damage Area & Details Extras Supplied Water Hose Drain Hose Removal of Old Appliance/s Not Applicable Other!! Please Specify Other Extra Sign-Off Appliance Connected Tested No Visible Leakage Customer Satisfied Technician Post-Installation Checklist Device Functional Test Performed & Working Satisfactorily Area Cleaned Customer Sign-Off Obtained Safety / Hazard Check – Installation Safe Packaging / Rubish Removed Customer Feedback / Satisfaction Recorded Job Notes / Observation Recorded Installation checked and approved Tested Tools Collected After Installation Photos Taken Customer Demonstration Completed All Checked Customer Consent & Signature INSTALLATION CONSENT BY CUSTOMER The customer has provided consent for the installation and confirmed the designated location. The customer acknowledges that any future modifications or relocation requests may incur additional charges, which will be assessed by the office. The customer will be notified, and a payment link will be provided where applicable. Customer [Name], I am happy with the completed work. Customer Signature No signature provided ✍️ Sign 🗑️ Clear Technician Section TECHNICIAN ACKNOWLEDGMENT The technician confirms that the installation has been performed in accordance with company guidelines, safety procedures have been followed, and all designated installation points and measurements have been verified. The technician acknowledges that any deviations, damages, or incomplete work must be reported immediately to the office. All post-installation checks, including functional testing, safety/hazard verification, and documentation, have been completed. Technician Note Preview Form Draw Customer Signature Cancel Clear Save Signature Verify Your Submission × Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Date / Time *Numbers *Unable To InstallUnable To InstallReason *Personal InformationEmail AddressContact NumberStairsStairsStairs - NoStairs - YesCustomer Agrees to Pay For The Stair *Customer Agrees to Pay For The StairYesNoAddressAddress Line 1CityState / Province / RegionPostal CodeService Type *Audio / Video InstallationAppliance InstallationAudio / Video Installation ------------Equipment Type - Installation ?TVProjectorSound SystemTV + ProjectorTV + Sound SystemProjector + Sound SystemTV + Projector + Sound SystemOther!!TV Size (Inch) *Select Your TV Size (Inch)Upto 64 Inches65" To 75 Inches76" To 89 Inches90 Inches To OverOther *Technician Pre-Installation Checklist : *Job Details VerifiedPreinstall Observations / Notes RecordedSafety / Hazard Verified – Proceed Only if SafeRequired Tools & Materials ReadyInstallation Point & Measurements CheckedEquipment VerifiedInstallation Area PreparedSpace & Mounting Compatibility CheckedBefore Installation Photos TakenSafety Measured CheckedJob Notes / Observation RecordedAll CheckedService Provided : *Wall MountTable TopOn StandDeliveryRemoval of Old BracketWarranty Inspection - Faulty ProductWarranty Inspection - Installation FaultService CallReturn To Store/HDC Condition : Operational *YesNoFaulty/Damaged *YesNoBox Damaged *YesNoFault/Damage Area & Details : *Extras Supplied : *HDMI CableAV SetupCable ConcealmentExtra Appliance InstalledRemoval of Old TVSoundbar MountingWall BracketSmart SetupAntenna CableNot ApplicableCustomer Agrees to Pay For The ExtasYesNoPaid in full?Yes – Paid in FullStore will cover the costsCustomer refuse to payNo – Payment PendingSign-Off : *Leakage Checked – No Leaks Detected (If Applicable)Installed & LevelledTestedArea CleanedBox /Packaging RemovedCustomer SatisfiedTechnician Post-Installation Checklist : *Device Functional Test Performed & Working SatisfactorilyArea CleanedCustomer Sign-Off ObtainedSafety / Hazard Check – Installation SafePackaging / Rubish RemovedCustomer Feedback / Satisfaction RecordedJob Notes / Observation RecordedInstallation checked and approvedTestedTools CollectedAfter Installation Photos TakenCustomer Demonstration CompletedAll CheckedCheckboxes *INSTALLATION CONSENT BY CUSTOMER *The customer has provided consent for the installation and confirmed the designated location. The customer acknowledges that any future modifications or relocation requests may incur additional charges, which will be assessed by the office. The customer will be notified, and a payment link will be provided where applicable. Customer Signature *Checkboxes (copy) *TECHNICIAN ACKNOWLEDGMENT *The technician confirms that the installation has been performed in accordance with company guidelines, safety procedures have been followed, and all designated installation points and measurements have been verified. The technician acknowledges that any deviations, damages, or incomplete work must be reported immediately to the office. All post-installation checks, including functional testing, safety/hazard verification, and documentation, have been completed.Technician Signature *Technician Note : *Appliance Installation ------------Appliances Type ? *Appliances Type ?DishwasherWasherDryerOther!!Other *Technician Pre-Installation Checklist : *Job Details VerifiedPreinstall Observations / Notes RecordedSafety / Hazard Verified – Proceed Only if SafeRequired Tools & Materials ReadyInstallation Point & Measurements CheckedEquipment VerifiedInstallation Area PreparedSpace & Mounting Compatibility CheckedBefore Installation Photos TakenSafety Measured CheckedJob Notes / Observation RecordedAll Checked Checks : Water *YesNoDrain *YesNoPhotos Taken *YesNoTested *YesNoLeakage *YesNo Condition : Operational *YesNoFaulty/Damaged *YesNoBox Damaged *YesNoFault/Damage Area & Details : *Extras Supplied : *Water HoseDrain HoseRemoval of Old Appliance/sOther!!Not ApplicableOther!! *Customer Agrees to Pay For The ExtasYesNoPaid in full?Yes – Paid in FullStore will cover the costsCustomer refuse to payNo – Payment PendingSign-Off : *Appliance ConnectedTestedNo Visible LeakageCustomer SatisfiedTechnician Post-Installation Checklist : *Device Functional Test Performed & Working SatisfactorilyArea CleanedCustomer Sign-Off ObtainedSafety / Hazard Check – Installation SafePackaging / Rubish RemovedCustomer Feedback / Satisfaction RecordedJob Notes / Observation RecordedInstallation checked and approvedTestedTools CollectedAfter Installation Photos TakenCustomer Demonstration CompletedAll CheckedCheckboxes (copy) *INSTALLATION CONSENT BY CUSTOMER *The customer has provided consent for the installation and confirmed the designated location. The customer acknowledges that any future modifications or relocation requests may incur additional charges, which will be assessed by the office. The customer will be notified, and a payment link will be provided where applicable. Customer Signature *Checkboxes (copy) (copy) *TECHNICIAN ACKNOWLEDGMENT *The technician confirms that the installation has been performed in accordance with company guidelines, safety procedures have been followed, and all designated installation points and measurements have been verified. The technician acknowledges that any deviations, damages, or incomplete work must be reported immediately to the office. All post-installation checks, including functional testing, safety/hazard verification, and documentation, have been completed.Technician Signature *Technician Note : * Digital Signature Please acknowledge your digital signature: Draw your signature in the box below: Clear Signature Signature: Edit Signature Log file Section DividerSubmit
