portal - Perfect Weather AC

Customer Information

Customer Name

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Last

Customer Phone

Customer Email

Brand (3) (2)

Service Address

Address Line 1

Address Line 2

City

State

Zip Code

System Information

Number of units

System Type

Manufacturer/ Brand

Model Number

Serial Number

Filter Information

Filter Length

Filter Width

Filter Thickness

Technician Information

Services performed

Please select all the services that have been performed.

Cleaning performed

Clean condenser coil (in place)
Clean evaporator coil (in Place )
Flush and clear condensate drain lines
Inspect and clean drain pan

Please select all the cleaning that was performed.

Technician notes (optional)

Please include any additional notes [ example : any additional issues that where discovered ]

Technician's Name

First

Last

Completed Date / Time

Date

Time

Call Today

License #

Hours

PERFECT WEATHER AC

Maintenance Ticket Portal

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Customer Information

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Technician Information

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