Service Request Form

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Customer Information

Vehicle Information

Service Request

Terms and Conditions

Please read carefully before submitting:

1. Customer authorizes Fixed in Minutes to perform requested diagnostic and service work.

2. Customer agrees to pay for diagnostic and completed services upon completion.

3. If service is refused after diagnosis for any reason, a diagnostic fee of $100 – $140 will be charged.

4. Fixed in Minutes is not responsible for pre-existing conditions, unrelated failures, hidden damage, or customer-supplied part defects.

5. Mobile service conditions such as weather, safe access, parts availability, or vehicle condition may affect timing and repair scope.

6. No warranty is provided unless specifically stated in writing on the invoice or receipt.

Customer Signature

By signing below, you confirm the information above and authorize Fixed in Minutes to perform the requested service.

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