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Statement of Satisfaction and Completion | Authorization to Pay |
Quality Assurance Form | Back to Quality Assurance Page

Sample Statement of Satisfaction and Completion Form

1st Action Services, Inc. has completed the cleaning/moving portion of the work performed in my home or business as per the agreed specifications and the work area is completed to my satisfaction.

I understand that in the event that I find something not completed to my satisfaction, I will have 24 hours from the date of this statement to notify 1st Action Services. A reservice by 1st Action Services will then be effective within seven (7) working days of my request.

Print Name:                                                           

Signature:                                                           

Dated:                                                           

We appreciate your comments:

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_____________________________________________________
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WORK COMPLETED BY:

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