Hardware Repair Clinic Request Form

Welcome to our Hardware Repair Clinic! Whether you're facing issues with your laptop, smartphone, or any other electronic device, we're here to help you. Our dedicated IT Volunteer is passionate about bringing your technology back to life, ensuring you stay connected in today's digital world. Our clinic is designed to provide a comprehensive suite of services focused on addressing the technological needs for both repair and educational aspects.

Your Full Name *

First

Last

Please enter your first and last name as you would like it to appear in our records.

Your Email Address *

Please enter your valid email address where our IT Volunteer can reach you.

Your Device? *

Please select the type of your device you're having an issues with.

Device Brand and Model? *

Located on the back or bottom of your device or within the user manual. Please provide the brand and model of your device.

Serial Number? *

Located on your device's back, underneath the battery or within the device's settings. Please enter the serial number.

Describe the detailed problem with your device? *

Providing your description will help our IT Volunteer to diagnose the issue and tailor the repair process to address your device's specific needs effectively. Please include any specific symptoms, error messages, conditions under which the issue occurs, and my troubleshooting steps you've already attempted.

Have you attempted any troubleshooting yourself? *

If yes, please describe what you have tried:

Is your data backed up? *

Please indicate whether your data is backed up for safeguarding your important files, photos and other personal information.

Data Loss Acknowledgement *

I understand that while our IT Volunteer will take care of my device, they cannot guarantee the integrity of data during the repair process. I am responsible for backing up my data before submitting my device for repair.

Liability Wavier *

I acknowledge that repairs are performed by our IT Volunteer and agree that our hardware repair clinic is not liable for any further damage that may occur to my device or data loss during the repair process.

Repair Agreement *

I consent to the necessary repair actions taken by our IT Volunteer based on the issue described.