Fire Werks·LTD
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Fire Alarm Systems
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Service Ticket Form

Fire Werks LTD
Fire Werks · LTD
Fire Alarm & Life Safety Systems
Service Ticket
Colorado Springs, CO · (719) 499-6956 · firewerks.biz
Ticket #
Date
Technician
Permit #
Billing Information
Bill To — Company / Customer Name
Account #
PO / Work Order #
Billing Phone
Billing Address
City
ST
ZIP
Billing Contact / AP Name
Billing Email
Job Site / Location of Service
Site / Facility Name
Zone
Service Address
City
ST
ZIP
On-Site Contact Name
On-Site Phone
Floor / Suite
Access Code / Gate
Monitoring Company
Monitoring Acct #
System Information
Panel Manufacturer / Model
Serial Number
Software Version
Zone / Loop Count
NFPA Standard
System Status at Arrival
System Status at Departure
Active Alarm / Trouble / Fault Codes at Arrival
Monitoring Co. Notified?
AHJ Notification Required?
Work Performed
Service Type
Devices Tested / Inspected (check all that apply)
Site Conditions
Description of Problem / Reason for Call
Work Performed / Findings / Corrective Action
Recommendations / Deficiencies Noted
Hazards / Special Conditions
Materials & Parts Used
Description / Part NumberQtyUnitUnit PriceExt. Price
Materials Subtotal
Labor & Billing
Arrival Time
Departure Time
Hrs (min 2)
Rate Applied
Labor Subtotal
Trip Fee
In-Zone$165/hr
Out-of-Zone$250/hr
Trip Fee$100 flat
Min. Charge2 hrs labor
Materials ($)
Tax
Total Due ($)
Authorization & Completion Signatures
Customer Authorization — I authorize Fire Werks LTD to perform the work described above and agree to the rates and terms stated.
Sign here
Printed Name
Title
Date
Technician Completion — I certify that all work described was performed in accordance with applicable NFPA standards and manufacturer specifications.
Sign here
Technician Name
NICET Level
Date
Payment Terms:Net 30 days from invoice date  ·  A 10% late fee will be applied to balances unpaid after 30 days  ·  Rates: $165/hr in-zone · $250/hr out-of-zone · $100 trip fee · 2-hr minimum
Remit Payment To:Fireworks  ·  8 May St, Colorado Springs, CO 80906
Fire Werks LTD · Colorado Springs, CO · Est. 2010 · Licensed & Insured · NICET Level IV · Colorado Journeyman License(719) 499-6956 · john@firewerks.biz · firewerks.biz