Repair Request

WSS Sales Rep (if known)

Form Filled In By

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Requester Information

First and Last Name

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Company

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Email Address

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Phone Number

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Shipping Information (Where Loaner/Repaired Device Will Be Shipped)

Address

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Floor/Suite/Unit

City

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Province

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Postal Code

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Defective Device Information

User Name

Mobile Number

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Model (ie. iPhone 6, Samsung Galaxy S7, etc.)

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Serial Number (IMEI); If Unable to Obtain, Contact Us: (905)-761-1823

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Does your device have Apple/Device Care Warranty?

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Yes No

Detailed Description of Problem With the Device

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Please provide your Blackberry/Google/Apple I.D

Please provide your Blackberry/Google/Apple Password

For all Apple devices, please indicate that 'Find My iPhone' has been turned off of the device before submitting it for repair

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Find My iPhone has been turned off Not an Apple device

If device is out of warranty are you approving up to $400.00 repair fee?

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Yes No

You will receive an email if the device is out of warranty before we submit a repair request.

Device Repairs: Devices will be covered under warranty unless deemed otherwise. The loaner unit provided has a $300.00 value. By providing your credit card you are approving that the loaner will be charged to your credit card if WSS deems that your device is lost/stolen or damaged. Please provide your credit card & expiry date.

Credit Card

Expiry Date

Is a Loaner Phone required?

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Yes No

Model of Loaner Device:

IMEI of Loaner Device:

Accessories Shipped (Only ship defective accessories)

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None Car Charger Home Charger Belt Clip Case Battery Backing Bluetooth

Special Instructions

Terms & Conditions

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I have read and agree to the Terms & Conditions (Terms are noted below)

After submitting the onlline request form, print the confirmation page emailed to you and attach it to the defective merchandise before shipping it.

Terms & Conditions Client accepts & claims full responsibility of loaner phone (if applicable), and agrees to pay full value of the unit, if lost/damaged. Client agrees to pay for any charges that are incurred on the unit that has been submitted for service, not covered under manufacturer’s warranty, and any charges that are incurred for out of warranty handsets. In the case where the unit has been declared BER (Beyond Economical Repair), the client accepts & agrees to pay for a replacement handset (if the handset is user/liquid damage, or if the handsets damage is not covered under warranty). » When a handset returns from repairs, WSS will make 3 attempts (one per week) to contact the customer, to pick the unit up. In the case where the handset has not been picked up 30 days from the first date of contact, a fee may be charged to the customers account, or the unit will become the permanent possession of Wireless Systems Solutions Inc. In the case where there is No Fault Found with the unit, a $50.00 fee will be applied for Inspection, by the Service Centre (WSS will verify functionality of the unit, prior to contacting customer).

Repair Request Form

Please ensure this form is completed in full.