|Customer Name:||CDG Task ID:|
|Customer Phone:||Arrival Time:|
|Technician Name:||Date of Service:|
I have been fully informed of how the Citizens service will be installed. I hereby accept the proposed Installation Plan, Cost Summary (if applicable) and Installation Schematic detailed above. I understand that any estimated cost outlined in this document are good faith estimates based on the anticipated time & materials needed to complete the task. I understand that the estimate does not include applicable tax and the cost may vary due to unforeseen obstacles or issues encountered during the installation. I hereby agree to pay for all charges incurred during this installation. By initialing below, I am accepting financial obligation and authorizing the Citizens Technician(s) to begin work.
The Citizens Technician has reviewed the completed installation, provided ample education on new equipment and cleaned up all work areas to my satisfaction. All Citizens services have been demonstrated and are working properly and I approve the quality of work and level of service. By signing below, I hereby accept the installation as complete and satisfactory and agree to pay for all associated cost.