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Submit Work Order
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Your E-mail
Your Full Name
Department
Please select a department
On-Site Support
In-Shop Work
Alderville Contract Service
Enter your phone number with area code
Enter a secondary phone number, i.e cell phone if necessary
Please select when you're available including a time (select the time first, at the bottom right hand corner of the calendar, and then the date).
Please provide your street name, house/apt number and town.
Please check off the type of service you need
Service Call
Pickup & Delivery
Please provide the credentials (case sensitive) to access your system
Is there any important information on your computer you need/would like to keep?
Please select ...
Yes
No
Is your system under warranty?
Please select ...
Yes
No
If you have an Internet related problem, please tell us your provider, along with the passwords for access to your account (DSL) and router.
Do you have a current backup of your system
Please select ...
Yes
No
How would you be able to pay us?
Cash
Cheque
PayPal (Includes Visa & MC)
Which office are you from?
Please select ...
Administration Office
Learning Centre / Library
Health & Social Services
Student Services
Daycare
Community Centre
Public Works
Women's Shelter
Other
What date and time is this work required by?
Please provide a description on the problem.
Who is the contact that we will be dealing with?
Approximate time spent on the issue (To be filled out by our technician)
Actions taken to solve the issue (To be filled out by our technician)
First name:
Last name:
Phone Number:
Pre-Approval amount authorized for the repair? (All repairs will have an automatic approval for 1 hr of service. If you would like to authorize us to go ahead with our work, up to a particular dollar amount, please indicate it here.)
Username and Password to sign into the system:
Is the system under warranty?
Yes
No
Unknown
All systems should have an up to date backup prior to service. If your system does not have an update backup, is there anything you require us to backup for you?
Description of the issue your having:
Actions taken to resolve the issue: (To be filled out by the technician)
Parts Required: (To be filled out by the technician)
The current status of this job:
Please select ...
Not yet in the shop
In shop. Not started yet.
Work in progress.
On Hold. (Waiting for approval)
On Hold. (Waiting on parts)
Completed. (Customer not yet notified)
Completed & waiting on customer to pick up.
Completed & being delivered.
Completed and beck to the customer.
Issue/Problem Title
Issue/Problem Description: Please be descriptive with the problems you are experiencing
Priority
low
normal
high
Attachment
Valid extensions:
Write the code
(case sensitive)
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