Birmingham QC Please enable JavaScript in your browser to complete this form.Date *Tech Name *FirstLastTech # *Job Type *Please SelectInstallTCJob # *AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code equipment? truck/tool the Drop Type *AerialUndergroundDid Supervisor enter the home? *YesNoDid Supervisor ensure levels are passing on all equipment? *YesNoWas QC Performed? *YesNoWas truck/tool inspection performed on site?YesNoWas Customer Education properly delivered? *YesNoSide of house photo * Click or drag a file to this area to upload. Tap photo * Click or drag a file to this area to upload. Additional Notes (Optional)Submitted By *FirstLastSubmit