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Ticket Number: ______________ Date: _______________

Curvature Helpdesk Agent Ticket Updated With: ________________


Technician Start Time: ____________ AM / PM Stop Time: ____________ AM / PM
Description of Work Performed:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
All parts must be accounted for. Return Part Tracking (ex: Tracking#, Scrap, Rtn Label Requested)
Part Number: _________________ Tracking Number: ________________________________________
Part Number: _________________ Tracking Number: ________________________________________
Part Number: _________________ Tracking Number: ________________________________________
Part Number: _________________ Tracking Number: ________________________________________
Part Number: _________________ Tracking Number: ________________________________________
Part Number: _________________ Tracking Number: ________________________________________
Part Number: _________________ Tracking Number: ________________________________________
Part Number: _________________ Tracking Number: ________________________________________

Contact the Curvature Helpdesk if unsure what parts are “Returnable” or if you require a Return Label.

Customer Acceptance

For each item identified below, circle the number to the right that best fits your
judgment of its quality. Use the scale to select the quality number.

1. Was the Field Service Engineer (FSE) on time and professional in appearance? 1 2 3 4 5
2. Was the FSE knowledgeable of all facets of the service request and equipment? 1 2 3 4 5
3. Was the FSE knowledgeable of technology related to the service request? 1 2 3 4 5
4. Did the FSE cleanup and remove any waste materials related to the service request? 1 2 3 4 5
5. Would you recommend or use this FSE in the future? 1 2 3 4 5
6. How would you rate the service provided by the PPT Helpdesk on this service call? 1 2 3 4 5

I have inspected equipment and the work has been completed to my satisfaction. YES NO

Customer Name (Signature): __________________________________________ Date: ______________

Customer Name (Printed): ________________________________________________________________

UNDER NO CIRCUMSTANCES IS THE CUSTOMER TO PAY THE TECHNICIAN FOR ANY REASON. ALSO, NO
ADDITIONAL SOLICITATION OUTSIDE THE NORMAL PROCESS CAN TAKE PLACE PRIOR, DURING, OR AFTER
THE ORIGINAL SERVICE CALL.

Field Service Engineer Name (Signature): _______________________________ Date: ______________

Field Service Engineer Name (Printed): _____________________________________________________

Rev 7 /15/ 17

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