Name *

First Name

Last Name

Phone

(###)

###

####

Phone Number of Device Being Serviced:

(###)

###

####

Customer Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please Certify the following *

Signature below must be of a Parent or Guardian if the customer is under the age of 18.

I certify that I am the owner of the device described in this document. In the event that I am found not to be the true owner of this device, I assume all liability for any claim made as a result of the repair services rendered by FIX LIKE A PRO; this includes claims that assert negligence on the part of the FIX LIKE A PRO.

I have reviewed and agree with the Pre-Repair Device Inspection.

I understand that technical support rendered by the FIX LIKE A PRO may void manufacturer warranties for this device. FIX LIKE A PRO does not assume any liability or warrant in the event that the manufacturer warranties are voided.

Except for the Limited Warranty for Wireless Device Repair. I understand that the FIX LIKE A PRO offers no verbal or written warranty, either express or implied, regarding the success of this technical support.

FIX LIKE A PRO has the sole discretion to determine whether content is prohibited Content, and any content found on a wireless device or personal computer submitted to the store for repair or diagnosis, may be subject to examination from time to time. Although FIX LIKE A PRO do not and will not examine and review all content submitted on any device that is being repaired on the customer’s behalf, FIX LIKE A PRO may delete, move and edit materials for any reason, at any time, without notice.

Specifically, any Content discovered on a wireless device or personal computer that is deemed in the sole discretion of FIX LIKE A PRO to be in violation of Title 18 of the United States Code, Sections 2251 et seq. (sexual exploitation of children) may be reported and disclosed to appropriate law enforcement agencies.

All content (whether private or public) that is on the device being repaired is the sole responsibility of the person who submitted it. Thus, you are responsible for your content.

You acknowledge that the technician may disclose content observed on the device being repaired if legally required to do so.

Phone Manufacturer

Apple

Samsung

LG

HTC

Other

Liquid Damage

Yes

No

N/A

Jailbroken or Rooted

Yes

No

N/A

Unlocked or Flashed

Yes

No

N/A

Previously Repaired

Yes

No

N/A

Frame Damage

Yes

No

N/A

Digitizer Damage

Yes

No

N/A

LCD Damage:

Yes

No

N/A

Device is unable to be turned on prior to repair for Device Inspection

Yes

No

Volume Button

Yes

No

N/A

Mute Switch

Yes

No

N/A

Vibration

Yes

No

N/A

Power Button

Yes

No

N/A

Home Button

Yes

No

N/A

WiFi

Yes

No

N/A

Cell Service/Call

Yes

No

N/A

Proximity Sensor

Yes

No

N/A

Ear Speaker

Yes

No

N/A

Phone Microphone

Yes

No

N/A

External Speaker

Yes

No

N/A

External Microphone

Yes

No

N/A

Headphone Jack

Yes

No

N/A

Rear Facing Camera & Flash:

Yes

No

N/A

Front Facing Camera

Yes

No

N/A

Charge Port

Yes

No

N/A

Fingerprint Scanner/Face ID

Yes

No

N/A

Today's Date *

MM

DD

YYYY