Appliance Repair Service New Customer Form

If you run an appliance repair service, you know that getting accurate information upfront saves time, reduces callbacks, and helps you arrive prepared with the right parts and tools. This Appliance Repair Service New Customer Form is built specifically for small repair businesses that want to replace phone tag and messy note-taking with a smooth, professional intake experience.

Whether you're a solo technician or managing a small team, this template helps you collect everything you need in one go: customer contact details, appliance make and model, warranty status, detailed issue descriptions, and preferred service windows. You can even take deposits or full payments right in the form using Stripe, PayPal or Square, so you're not chasing down payment before the visit.

The form includes conditional logic to tailor questions based on appliance type, and appointment scheduling so customers can book directly into your available slots. Once submitted, you can use Stepper to automatically route work orders to your CRM, send confirmation emails with service details, or trigger SMS reminders the day before the appointment—no manual data entry required.

Paperform's doc-style editor makes it easy to brand the form with your logo, colors, and tone, so it feels like a natural extension of your business. And because it's mobile-friendly, customers can fill it out from their phone while standing in front of the broken appliance, which means you get better photos and more accurate model numbers.

Perfect for HVAC technicians, appliance repair shops, mobile repair services, and home service contractors who want to win more jobs by making it easier for customers to book and pay upfront. Get started in minutes, no coding required.