Forms > Plumbing Work Order Form

Plumbing Work Order Form


A plumbing work order form is normally provided by a plumbing company and is carried by their plumbers or workers when on duty. On completion of the plumbing work to the satisfaction of the customer or client, a copy of the work order is given to the customer and one copy is received by the plumbing company with signature of the client. The plumbing work order form contains information regarding the details of the customer, the description of work, date of plumbing work, type of work, the cost involved etc.

You can Download the Free Plumbing Work Order form, customize it according to your needs and Print. Plumbing Work Order Form is either in MS Word, Excel or in PDF.

Sample Plumbing Work Order Form

Plumbing Work Order Form

Download Plumbing Work Order Form

Plumbing Work Order Form
Company Name

 

 Date of order
Street Address:

 

 

 Type of order
City/State/Zip:

 

 

 Order Number:
Phone:

Fax:

Email:

 

 

 Job Location:
Customer Name:

 

Address:

City/State/Zip:

 

 Plumbing work performed by:
Phone:  Date of Completion:
Description of work
S.No Job Description Status of Check / Replacement Cost ($)
1 Water Meter    
2 Bathtub and Shower    
                    -Leak    
                    -Moisture    
                    -Water stains    
                    -Soft spot    
3 Toilet    
                    -Leakage    
                   -Slow Drain    
                   -Soft Floor    
4 Faucet    
                   -Dripping    
                   -Leak    
                   -Vibration    
5 Water Heater    
               Serial Number:    
               Age:    
               Corroded Parts:

 

    
6 Basement    
                   -Leak    
                  -Quality    
7 Air-conditioning    
                   Serial Number    
                  Age    
                  Current condition    
  Total Cost $
Plumbing parts changed / Replaced

a)___________________________

b) ___________________________

c) ___________________________

d) ___________________________

e) ___________________________

 

 Warranty and Cost

a)___________  $  ______________

b) ___________  $  ______________

c) ___________  $  ______________

d) ___________  $  ______________

e) ___________  $  ______________

 
  Total cost of parts $
  Taxes (if any) $
Plumbing issues have been checked and rectified and plumbing parts were changed as necessary and to the satisfaction of the customer Other service charges (if any) $
 

……………………………….

Customer Signature

 Sum Total $
Payment Received by:

 

Check

Credit Card

Cash

 

  

 

…………………………………………..

Signature of Plumber

Category: Order Forms

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