Invoice Submission

Invoice Submission

Customers Information

Service Request Number
Name:*
Address:
Phone
Email
Customers Complaint*
Date of Purchase
Dealer Name
Servicer Information
Service Company*
Technicians Name*
Servicer Invoice Number*
Servicers Email*
Date Call Received*
Call Started*
Date Complete*
Product*
Brand*
Model Number*
Index
Serial Number*
Work Details*
Please provide quantity and parts used
Km or Miles
at $ / km
Total Allowance
Service Call amount ($)*
Total Labor*
Sub Total
Tax % (ex 13, not 0.13)
Tax $
Total
Solve