APPLIANCE REPAIR DIAGNOSTIC FEE AUTHORIZATION TEMPLATE

Company: [COMPANY NAME]
Customer: [CUSTOMER NAME]
Service address: [SERVICE ADDRESS]
Appliance / work order: [APPLIANCE OR JOB NUMBER]
Diagnostic fee: $[AMOUNT]

By signing below, I authorize [COMPANY NAME] to perform diagnostic and
troubleshooting services on the appliance(s) identified in this work order or
service visit.

I understand and agree that a diagnostic fee of $[AMOUNT] is charged for this
diagnostic service and is due whether or not I authorize any repairs after the
diagnosis.

This signature does not approve a repair estimate, parts, or labor beyond the
diagnostic fee. Any additional work requires my separate approval.

I have had an opportunity to ask questions about the diagnostic fee and these
terms before signing.

Customer name: [NAME]
Signature: [SIGNATURE]
Date: [DATE]

This is a plain-language operational template, not legal advice or a guarantee
of collection. Review the wording for your state, jurisdiction, and business
policy, including with a qualified lawyer when appropriate.