Request general repair service with equipment model, symptoms, service method and photos.
Trades & Field Services template · 12 fields (6 required) · ~3 min for respondents to complete · Free plan · No credit card · Fully customizable
Set up your repair service request form
Request general repair service with equipment model, symptoms, service method and photos.
Edit the item types to what you repair and state any diagnostic fee in the description. Reply with a quote or appointment time, and don't promise a fix or warranty coverage until you've diagnosed it.
The form separates phone number, what needs repair?, brand and model (optional), serial number (optional) into labeled questions. Review the choices and required fields for your organization before sharing it.
Best practices
Edit the item types to what you repair and state any diagnostic fee in the description. Reply with a quote or appointment time, and don't promise a fix or warranty coverage until you've diagnosed it.
Customize the phone number and what needs repair? questions to match your records and terminology.
Name the team that reviews responses and explain what happens after submission. A requested date, service or approval is not automatically confirmed.
Keep uploads limited to relevant supporting material. Use your approved private process for sensitive records and verify response access before sharing.
Every field, explained
Your full name (Name, required)
Email address (Email, required)
Phone number (Phone, required)
What needs repair? (Dropdown, required)
Brand and model (optional) (Short text) — Usually on a label on the back, bottom or inside the door.
Serial number (optional) (Short text)
What's wrong? (Long text, required) — What happens, when it started and any error messages or codes shown.
Is it under warranty? (Single choice)
How would you like service? (Single choice, required)
Service or pickup address (Address) — Needed for on-site visits and pickups.
Preferred service date (Date)
Photos or video of the issue (optional) (File upload)
Frequently asked questions
What does this repair service request form template collect?
Alongside contact details, it asks for phone number, what needs repair?, brand and model (optional), serial number (optional), what's wrong?, is it under warranty?, how would you like service?, service or pickup address, preferred service date, photos or video of the issue (optional). You can rename questions, change choices and remove fields that your workflow does not need.
How should I use this repair service request form form?
Edit the item types to what you repair and state any diagnostic fee in the description. Reply with a quote or appointment time, and don't promise a fix or warranty coverage until you've diagnosed it.
Can I edit this form and print a copy?
Yes. Open an editable draft, adjust the questions, and review the preview before publishing. You can also use the template page’s print option. Publishing requires an account; the draft can be tried first.