Service Record History - Handicare PRISM MEDICAL C450 Owner's Manual

Service Record History - Initial Information
Complete the following section on Purchase and Service Information as soon as this

equipment is installed.
Use the service record history to record to any completed service and repairs.

Ensure that the service record is signed and dated each time it is used.

Be sure to have this piece of equipment serviced on a regular basis as described in the

General Inspection and Maintenance Section.
PURCHASE INFORMATION:
Product Name:
Date of Purchase: _____________________
Purchased From: ___________________________________________________________
(local authorized Prism Medical dealer)
Address:
City:
Telephone No:
Comments:
SERVICE INFORMATION:
Contact the following company for service:
Company: ___________________________________________________________
(local authorized Prism Medical dealer)
Address:
City:
Telephone No:
Comments:
C450/ C625 - User Guide (753101)
C450/ C625
lift
_______________________________________
__________________________
__________________________
_______________________________________
__________________________
__________________________
Model:
____________________________
Serial#:________________________
Date Installed: _________________
Postal Code: ________________
Postal Code: ________________
Rev: 14 MAR 2017 Page: 33