iM3 Equipment Service Request

Veterinary hospital and contact

Veterinary hospital name *

Veterinary hospital address *

Authorising contact *

Phone *

Email *

Equipment details

Equipment *

Model

Serial number

Problem description *

Save as issue template

Accessories included

Photos, videos or documents (optional)

Up to 10 files, 20 MB each. Useful for photos of the damaged unit or error screens.

Repair authorisation *

By selecting an amount below, you authorise iM3 to carry out repairs up to that amount, including parts and labour, without contacting you for further approval.

If the estimated repair cost exceeds your selected limit, iM3 will contact you before proceeding. Select Please quote before repair if you do not authorise any repair work until you have approved a quotation.

Up to $250.00 Up to $500.00 Up to $800.00 Up to $1,000.00 Up to $1,200.00 Up to $1,500.00 Please quote before repair

Repair summary

EquipmentNot entered

Serial numberNot provided

Repair authorisationNot selected

Quotation requiredNot selected

Customer authorisation

By submitting this Service Request, you confirm that:

You are authorised to request repairs and approve repair costs on behalf of your organisation.
You authorise iM3 to carry out repairs up to the selected Repair Authorisation Limit.
If you selected Please quote before repair, no repair work will commence until you have approved the quotation.
If the estimated repair cost exceeds your authorised limit, iM3 will contact you before carrying out additional work.
Diagnostic work may be required to determine the cause of the fault and prepare a quotation.
The information supplied in this request is accurate to the best of your knowledge.

Type your full name as electronic signature *

I confirm that I have read, understood and accept the Repair Authorisation above.

After submitting, include the equipment details and SR request number with the shipment.