15 Inspections Performed

It is confirmed by stamp and signature that all jobs listed in the inspection schedule of the Service and Repair Instructions have been properly performed. The list of the inspection jobs to be performed can be found in the Service Manual which is available through Invacare®.

Delivery Inspection

1st Annual Inspection

Stamp of authorised Dealer / Date / Signature

Stamp of authorised Dealer / Date / Signature

2nd Annual Inspection

3rd Annual Inspection

Stamp of authorised Dealer / Date / Signature

Stamp of authorised Dealer / Date / Signature

4th Annual Inspection

5th Annual Inspection

Stamp of authorised Dealer / Date / Signature

Stamp of authorised Dealer / Date / Signature

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Invacare Electric wheelchair manual Inspections Performed