NATIONAL DISPATCH SERVICES
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National Dispatch Services
Emergency Service
Form
For field technicians to use in case of an emergency that has to be serviced before physical paperwork is available.
PO NUMBER (STARTS WITH R) - IF APPLICABLE
DATE OF SERVICE
NAME OF STORE BEING SERVICED
ISSUE BEING SERVICED
As you do not have access to the official NDS paperwork, you are accepting this form as a temporary work order until official paperwork can be sent. As with all jobs, a sign off sheet with the store manager's signature is required for the job to be considered complete and payment issued. By checking this box, you acknowledge that this form will be used as the sign off sheet for this emergency call and that if this form is not adequaletly completed, you will return to the store to get a sign off sheet signed at your own expense.
I certify that my company has all required licenses (if applicable) and insurance.
I acknowledge that my company will work according to the terms & conditions of the National Dispatch Services purchase order.
TIME CHECKING IN
TIME CHECKING OUT
STORE MANAGER'S NAME
STORE MANAGER'S SIGNATURE
Clear
Submit
Thank you.