DEP R M JOB Sheet Dep Rm-2: Department of
DEP R M JOB Sheet Dep Rm-2: Department of
CLIENT DETAILS
Given Names: Surname:
Contact Phone: Address:
Location of Repairs:
State the R&M Request:
EQUIPMENT DETAILS
Equipment Type: Serial No:
Equipment Brand/Make/Model:
JOB DETAILS
Works above $300 for non-powered and $500 for powered nominated equipment items require a quote to DEP.
If equipment is deemed as irreparable, complete Job Sheet and notify DEP for arrangements to return equipment.
Prior To Commencing Work - Is a quote to DEP required? Yes No
If Yes, send quote to DEP. Date quote sent: / / If No, proceed with job
DEP Approval Received? Yes - Proceed with job No - Do Not Proceed with job
Description of work performed:
TIME RECORD
Date
Start
Finish
Time Taken
MATERIALS USED
Date Item Description QTY Cost Total Source
(f used other parties please give details and $ $ (DEP Parts / New / Other)
company name)
/ /
/ /
/ /
/ /
Total $, Materials =
Technician Name:
Signature: Date: / /
Client / Carer Name (verifying work undertaken):
Signature: Date: / /
Aged and Disability Program | DEP RM-2 Version: 1.0 Created March 2012 | Review: March 2013
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