Zombie PC Repair
We bring everything back to life.
Zombie PC Repair — customer drop-off / intake
Retain a signed copy for the shop; customer receives a copy of ticket #1.
| Ticket # | 1 |
|---|---|
| Drop-off date/time | 2026-03-04 09:15:00 |
| Received by | Mike Rivera |
Customer
| Name | John Doe |
|---|---|
| Address | 100 Main St, Springfield, IL 62701 |
| Phone / email | 555-0101 · john.doe@email.com |
| Account notes | Prefers email for status updates. |
Equipment left for service
| Type | Laptop |
|---|---|
| Make / model | Dell XPS 13 9310 |
| Serial / service tag | DELL-SN8X7Q2 · Asset CUST01-LT-001 |
| OS (if applicable) | Windows 11 Home |
| Accessories left with device | 65W USB-C adapter. |
| Condition at intake | Light wear on palm rest; LCD shows vertical lines. |
| Manufacturer warranty (info only) | Dell limited warranty expired 2024-08. |
Problem described by customer
LCD panel damaged; vertical lines; needs replacement.
Authorization & liability
I authorize Zombie PC Repair to evaluate and perform the services we discussed. I understand that data backup is my responsibility unless a backup service was purchased. I release the shop from liability for pre-existing damage not noted above, subject to applicable law.
Customer signature
Print name: _________________________ Date: _____________
Zombie PC Repair — staff signature
Received by: Mike Rivera Date: _____________