Name:

Contact Phone Number:

Street Address:

City:

Email Address (Required):

Select Device (Required): (See how to identify your iPad model)
---Apple iPad 7th GenApple iPad 6th GenApple iPad 5th GenApple iPad Air 3Apple iPad Air 2Apple iPad AirApple iPad 4th GenApple iPad 3rd GenApple iPad 2nd GenApple iPad 1st GenApple iPad Pro 10.5Apple iPad Pro 12.9Other

Select Issue (Required)
---Cracked ScreenPoor Battery LifeCharging ProblemsAudio ProblemsOther

Passcode:

Has the device been exposed to liquid?
YesNo

Has the device been serviced previously?
YesNo

Is your tablet data backed up? (ERS is NOT liable for data loss, see Terms & Conditions)
YesNo

Additional Details:

I have read and agree to Emergency Repair Shop's terms and conditions.