AERS — Device Repair Intake & Waiver

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Waiver Submitted!

Thank you, . Your intake form has been saved and your technician has been notified.

Device

Warranty starts

Confirmation to

Warranty period30 days on parts & labor

Keep your ticket number for warranty claims and repair status.

ℹ️ All fields marked * are required to activate your 30-day warranty. Please complete the form in its entirety before signing.

⚠️ Back up your data before service. AERS is not responsible for data loss. Remove personal/confidential data if desired before handing over your device.

Liability Waiver & Terms of Service

I authorize the AERS technician(s) to perform repair work on my electronic device. I understand that AERS technicians have been trained to perform work on electronic devices, but AERS is not an authorized service dealer. I agree to release, indemnify, and hold AERS harmless from liability for any claims or damages of any kind that may arise from repair work performed on my device, unless caused by severe negligence of AERS or its agents.

I understand that AERS is not responsible for any data loss which may occur as a result of work performed on my device. I understand that I have the option to, and am solely responsible for, backing up the device before allowing any repair to be performed.

⚠️ Apple Device Notice: Due to Apple's current security updates, any screen or part replacement with an individual serial number may display an error/warning message unless the serial number is reprogrammed to the new part. Replacement of front-facing cameras may result in Face ID failure. AERS will not be held responsible for these manufacturer-imposed limitations.

I understand that AERS will not intentionally browse any personal, private, or confidential information. However, technicians may inadvertently see data during the course of their work. Any confidential data should be removed from the device prior to service. The device password or pattern code must be provided or deactivated to allow proper troubleshooting, testing, and confirmation of repair.

I understand that repairs or technical support performed by AERS may void manufacturer warranties, especially in the case of iOS device repairs. AERS and its affiliates do not assume liability in the event that manufacturer warranties are voided, but may, at its sole discretion, offer its own warranty on parts and/or services performed.

AERS Warranty: We offer a 30-day warranty on LCD/Digitizers and all other repairs. Warranty does not cover cracked glass or water damage to the device after service. All warranty fields below must be completed in full to be eligible for warranty coverage.

Abandoned Devices: AERS will not be responsible for any device left at our facility for more than 30 days without contact or consent. After 30 days, the device will be automatically forfeited.

Promotions & Discounts: Time-based promotional pricing is valid only through the stated expiration date and time. Expired promotions will not be honored. Referral discounts, managerial discounts, and damaged/older device submission discounts are applied at time of service and honored on receipt. Discounts cannot be combined with promotional pricing unless explicitly stated in writing.

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Device Information

Device Type & Manufacturer *

Model *

Color *

Carrier *

Device Password *

IMEI / MEID # (for phones) *

Reason for Repair / Issue Description *

Pre-existing damage (check all that apply)

Cracked screen Water/liquid damage Dents or physical damage Missing parts Prior third-party repair None

Customer Information

First Name *

Last Name *

Cell Phone *

Alternate Phone

Email Address *

Street Address *

City *

State *

ZIP *

Referred By

Customer Signature & Agreement

I have read, understand, and agree to the full AERS Liability Waiver and Terms of Service above. I authorize AERS to perform the requested repair work on my device. I confirm that all information provided is accurate.

Customer Signature * — Sign in the box below using your mouse, finger, or stylus

Warranty Start Date:

Your waiver is saved securely. You will receive a ticket number for warranty claims and repair tracking.