Sales & services 2 signers 2 pages 20 blanks to fill in

Device repair authorization Template

A customer authorises a repair shop to diagnose and fix a phone, laptop, tablet or console — the fault, estimate and limit, data backup and privacy, passcodes, parts, warranty and uncollected devices.

Use this template — free See the agreement Signers don’t need an account
Device repair authorization
The blanks in brackets are what you fill in. FileIt adds each signer’s signature and date boxes.
Device repair authorization — page 1 of 2
Page 1 of 2
Device repair authorization — page 2 of 2
Page 2 of 2
Use this template Fill in the blanks, name who signs, and send — from FileIt eSignature.

What is a device repair authorization?

A customer authorises a repair shop to diagnose and fix a phone, laptop, tablet or console — the fault, estimate and limit, data backup and privacy, passcodes, parts, warranty and uncollected devices. Start from this template in FileIt eSignature: fill in the blanks, add the people who sign, and send it. Everyone signs online and the signed PDF is filed in your vault.

What you fill in

20 blanks, then the name and email of each person who signs: repair shop, customer.

1 The parties

  • Repair shop*
  • Shop phone or email*
  • Customer*
  • Customer phone or email*

2 The device

  • Device (make, model)*
  • Serial number or IMEI
  • Accessories left with the device
  • Visible condition*
  • Date left with the shop*
  • Repair ticket number

3 The repair

  • Fault reported*
  • Repair authorised*
  • Currency*
  • Diagnostic fee
  • Estimate
  • Spending limit without further approval*

4 Terms

  • Parts used* original manufacturer parts · compatible (aftermarket) parts of good quality · the shop's choice of suitable parts, which may be original or compatible · refurbished parts
  • Repair warranty (days)
  • Uncollected devices: days after notice*
  • Governing law*

5 Who signs

  • Repair shop signature and date, initials on every page · The repair shop or technician.
  • Customer signature and date, initials on every page · The owner of the device, or someone authorised by the owner.

What the device repair authorization covers

  1. The device
  2. The fault and the repair authorised
  3. Data, backup and privacy
  4. Parts and the manufacturer
  5. Warranty
  6. Payment and collection
  7. General

Sign it online in minutes

  1. Fill in the blanks. Names, dates and amounts go straight into the agreement — the preview shows exactly where.
  2. Name who signs. Tick “This is me” for your own part. FileIt builds the PDF with every signature, date and initials box on the right line, and you can check or move anything before sending.
  3. Send it. Each signer gets a secure link and signs from any device — no account needed. The signed PDF, with an audit trail and a Certificate of Completion, is filed in your vault and emailed to everyone.
Use the device repair authorization template — it’s free