Customer’s Name* Engineer's Name* FLHDJMATOVO Select the engineer you want to work with Device* Enter the device you need serviced Primary Issue* Enter the primary issue you need addressed Symptoms* Enter the symptoms you are experiencing Primary Repair Successful? YesNoYes, other Issues found after testing. Check the options that apply Secondary issue found after testing? YesNo Select Yes or No Water Damaged? YesNo Select Yes or No Prior board repair attempt? YesNo Select Yes or No Warranty Seal#* Enter the warranty seal number Cost of Repair Enter the estimated cost of repair. Front Back More/Model Number Engineer Notes* Enter any additional notes or comments Your Signature:* Do not spam (Tap Multiple Times) the submit button, press once and wait for files to upload, once completed you will see a confirmation in green box.