A Printable Device Intake Form, Ready in One Click
When you take in a device for repair, it helps to have a clear document the customer signs — what was received, what is wrong with it, what it costs, and what the warranty terms are. Leybix generates a clean device intake form straight from the ticket, ready to print or save as a PDF.
Why You Need an Intake Form
- Without a form, there is no record of what condition a device was in when it came in.
- Disputes with customers over scratches, device condition, or the price that was agreed on.
- A customer claims they lost data, and there is no signed disclaimer on file.
- Filling out a handwritten form that never actually gets saved with the ticket.
How Leybix Solves This
All the details already live on the ticket — customer, device, IMEI/serial, issue, price, and deposit. One click generates a clean, printable intake form with warranty terms, a data-loss disclaimer, and a line for the customer's and the shop's signatures. The document is an internal shop form — not a tax invoice or an official receipt.
Customer: Dana Levy · 05X-XXXXXXX
iPhone 13 · IMEI 3568••••••4321
Issue: cracked screen
Price: $90 · Paid: $20 · Balance: $70
Backing up data before handover is the customer’s responsibility. Repair warranty: 6 months.
What you get
Customer & Device Details
Name and phone, device type, brand/model, and IMEI or serial number — all on the form.
Issue & Intake Notes
The reported issue plus any ticket notes — device condition, accessories received, and more.
Price, Paid & Balance
Repair price, amount paid, and balance due — internal tracking, not a tax invoice.
Warranty + Data-Loss Terms
Clear warranty terms and a disclaimer that backing up data before handover is the customer's responsibility.
Customer & Shop Signatures
A line for the customer's signature and the shop's or technician's signature — a clear record of what was agreed.
Print or Save as PDF
Generate a clean document to print or save as a PDF, straight from the repair ticket.
Who It Is For
- Phone and computer repair labs that want a proper form for customers to sign.
- Businesses that want to avoid disputes over device condition or the agreed price.
- Anyone still using handwritten forms who wants something faster and more professional.
Who it’s not for
- Anyone looking for a tax invoice or official receipt — the form is an internal shop document, not a fiscal one.
- A business that needs remote digital signatures on the form — signatures here are physical, on the printed page.
A Day-to-Day Example
- 1
A customer drops off a Lenovo laptop with a charging issue — open a ticket with the details and the serial number.
- 2
Pick a price from the pricebook and collect a deposit if needed.
- 3
Click "Intake Form" and print a clean document with every detail filled in.
- 4
The customer signs, the shop signs — both sides know exactly what was agreed.
Frequently asked questions
What does the device intake form include?
Customer and device details, IMEI/serial, the reported issue, services and price, amount paid and balance due, warranty terms, a data-loss disclaimer, and a line for customer and shop signatures.
Can we print the form or save it as a PDF?
Yes. Generate it directly from the repair ticket, either to print or to save as a PDF.
Is this form a tax invoice or a receipt?
No. This is an internal shop intake form. It is not a tax invoice or an official receipt — those are issued separately by the business if needed.
Is there a data-loss disclaimer?
Yes. The form includes warranty terms and a disclaimer stating that backing up data before handing over the device is the customer's responsibility.
Does the form fill in automatically from the ticket?
Yes. The details are pulled from the repair ticket, so you never have to re-enter everything by hand.
Guides to help you decide
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Want to try it?
Get set up in minutes — no installs, no lengthy training.