Scribd Logo
Upload

Welcome to Scribd!

  • 50 views

    Air Duct Cleaning Work Order Word Fillab

    Uploaded by

    supuntharanga3991
    This document is a work order form for an HVAC company to clean and service air ducts. It contains sections for customer information, equipment details, pre-existing conditions, recommended services, pricing, and signatures to authorize the work. The multi-page form gathers comprehensive information about air duct cleaning jobs.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Air Duct Cleaning Work Order Word Fillab

    Uploaded by

    supuntharanga3991
    50 views1 page
    This document is a work order form for an HVAC company to clean and service air ducts. It contains sections for customer information, equipment details, pre-existing conditions, recommended services, pricing, and signatures to authorize the work. The multi-page form gathers comprehensive information about air duct cleaning jobs.

    Original Title

    Air_Duct_Cleaning_Work_Order_Word_Fillab (2)

    Copyright

    © © All Rights Reserved

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is a work order form for an HVAC company to clean and service air ducts. It contains sections for customer information, equipment details, pre-existing conditions, recommended services, pricing, and signatures to authorize the work. The multi-page form gathers comprehensive information about air duct cleaning jobs.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    50 views1 page

    Air Duct Cleaning Work Order Word Fillab

    Uploaded by

    supuntharanga3991
    This document is a work order form for an HVAC company to clean and service air ducts. It contains sections for customer information, equipment details, pre-existing conditions, recommended services, pricing, and signatures to authorize the work. The multi-page form gathers comprehensive information about air duct cleaning jobs.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    YOUR COMPANY NAME

    RESIDENTIAL – COMMERCIAL WORK ORDER


    HVAC SALES, SERVICE & REPAIR DATE
    123 Main Street - City, State, Zip
    Office: (123) 456-7890 Time In:

    Fax: (123) 456-7890 Time Out:


    [email protected]
    www.YourDomain.com Technician

    CUSTOMER INFORMATION LOCATION OF EQUIPMENT


    Name Name

    Address Address

    City State Zip Code City State Zip Code

    Home Phone Work Phone Home Phone Work Phone

    E-mail Allergy Sufferers E-mail


    YES NO
    EQUIPMENT INFORMATION
    No. of System(s): Total Vent Count: # Supply: # Return:

    System Type(s): HP Gas Oil Other Material: Metal Duct Board Flex Other Filter Size:
    PRE-EXISTING CONDITIONS RECOMMENDATIONS
    Evidence of corrosion Venting oxidation water Clean filter(s) Replace filter(s)

    Marks or standing water Non-working vents Replace register(s) Contact AC Repair Company

    Excessive debris in duct system Evidence of contamination Carpet cleaning Other

    Whistling or other noises Splitting or separation of ducts


    Pre-Service Comments/Observations:
    Odors Deterioration of duct material

    Mold/mildew Other
    AIR DUCT CLEANING OVERVIEW DESCRIPTION RATE TOTAL
    Ventilation Ductwork Cleaning, Vents 1 to 12
    • Remove, clean and reinstall all
    registers Vents 13 to 25
    • Clean air supply ducts
    • Clean all accessible OAHU Vents 25+
    components & housing
    • Antimicrobial Application (de-
    odorizer/bacteriostat/ germistat/
    fungus/fungistat
    Dryer Vent Cleaning. Includes cleaning dryer vent, lint trap and housing for dust and
    • Clean coils, fan motor and air replacing duct/bracketing if necessary.
    handling housing Premium Filtration. (Lifetime Electrostatic Filter)
    • Dryer vent inspection Size (LxWx1”)
    Diffuser Boot Seal(s). (Seal diffuser boots to check rock using mastic or caulk.
    • Air Systems Cleaning Qty: @$
    Specialists (ASCS) certification Sanitizer Application.
    by NADCA Customer initials: I have been advised to vacate for 2 hours.
    • We follow ACCA standards and Maintenance Program
    OSHA safety regulations Antimicrobial Application & Dryer Vent Cleaning

    Post-Service Comments/Observations:
    SUB TOTAL

    Discount / Coupon

    Sales Tax

    TOTAL
    PAYMENT INFORMATION ACCEPTANCE
    Cash Credit Card Charge Check Other During the process of removing and reinstalling the air vents there is a potential for
    paint chipping. Personnel will be as careful as possible, but the responsibility for any
    Visa MC AMEX DISCOVER Other paint touch and repair shall be assumed by the customer. The above services have
    been satisfactory received. Customer’s signature verifies services has been approved
    Credit Card Number Expiration Date Authorization Code and accepted.

    Name on Card
    Customer Signature Date

    Technician Signature Date


    © 1992, 2012 SnappyFORMS.com, Form 00725 Air Duct Work Order

    You might also like