Customer Information

* Name

* Last Name

* Phone

* Email

* Address

* City

* State

* ZIP

Item/Equipment Information

Serial Number (if applicable)

Qty

Additional Keys

Yes No

Qty

* Repair Details: pick one

Transport Security Inc. can proceed with repairs at the customers expense—up to 80% of the cost of a new lock—offering a more affordable alternative to full replacement. Provide Estimate Before Proceeding

If Lock is Not Repairable

In the event the lock cannot be repaired, please choose one of the following options:

Replace with similar or recommended model (additional costs will apply) Return unrepaired item (additional costs may apply) Recycle/dispose of unrepaired item Contact me to discuss further options

Customer Initials

Terms & Conditions

All repairs are subject to availability of parts.

Cost is based on the actual quantity of locks repaired and the work required. Including time and materials.

Customer agrees to pay all charges upon completion unless other arrangements are made in writing.

Some product may be deemed unrepairable and will be destroyed unless other arrangements are made in writing.

Customer will be responsible for all shipping costs.

Transport Security Inc. is not responsible for loss or damage due to fire, theft, or other causes beyond our control.

Customer Authorization

I authorize the above repair work to be performed along with any necessary materials. I understand and agree to the terms listed above.

Name

Date

Repair Authorization Form

Customer Information

Item/Equipment Information

If Lock is Not Repairable

Terms & Conditions

Customer Authorization

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