| Resolution: __________________________________________________________________________________________________ | |
| _____________________________________________________________________________________________________________ | |
| _____________________________________________________________________________________________________________ | |
| Ready for pick-up: _____________________________________________________________________________________________ | |
| Tech Assigned Signature: _____________________________ |
Tech Sign Off: _____________________ |
| Date Complete: ___________________________ | User Contacted?: ________________ |
| User Signature: ___________________________ | Date: ___________________ |
| Tech releasing equipment signature: _____________________________________________________________ | |