AusDigi Generic Sign Off Form

To be used when no pre-determined sign off form exists

Site Name *

Site Address

Apt, suite, etc.

Country

City

State

Zip code

Date *

Technician's Name *

Technician's Email *

Please enter your email address here

Stock Items Installed

Please enter ALL items installed here including type and serial nunmber

Detailed Installation Description plus Notes and Comments

Upload Photos of Completed Job

Is the system operational ? *

I, the undersigned agree that the installation is complete to my satisfaction and that I have taken possession of the items listed above.

Name of Authorised Client Signatory *

Signature of Authorised Client *

Signature is required.