IT Service Check-In Form - HEAVEN TECHNOLOGY

Heaven Technology LLC

IT Service Check‑In Form

Please fill out this form when checking in a device for service. Fields marked * are required.

Client Information Full Name*
Company / Organization
Email*
Contact Number*
Address

Device Details Device Type*
Brand / Model*
Serial Number
Describe the Issue*
I authorize Heaven Technology LLC to perform required diagnostics on my device.

Authorization & Liability

I understand that Heaven Technology LLC and its staff are not responsible for any data loss or consequential damages that may occur during service. I have backed up data prior to submission. I release Heaven Technology LLC from all liability arising from diagnostics, repairs, or third‑party component failures. Services are provided on a best‑effort basis. I authorize limited disassembly for diagnostics and acknowledge additional authorization may be required for repair costs.

I agree to the Liability Waiver & Service Authorization.

Signature Date*
Digital Signature (Type Full Name)*