Appliance Repair Service Agreement
& Terms of Service
This agreement must be signed before any diagnostic or repair work may begin.
Refusal to sign will result in cancellation of service. By signing below, the Customer
acknowledges that they have read, understood, and voluntarily agree to these terms as a
condition of receiving service from Iowa Repair Center LLC, including Iowa Appliance Repair,
Pure Air Dryer Vent Cleaners, Surge Appliance Repair and Dryer Vent Cleaning, Surge Dryer
Vent Cleaning, and SURGE, and any affiliated entities, subsidiaries, divisions, trade names,
and DBAs associated with those brands, collectively referred to in this Agreement as the
“Company.”
1. Customer Information
Name:
Job Number:
2. Permission to Enter & Perform Work
The Company may enter the property and perform diagnosis, service, and repair work on the appliance(s) being
serviced during this appointment. The Customer confirms they are authorized to grant this permission and to
request service for the appliance(s).
The Customer is responsible for providing a safe and sanitary work environment for the technician.
The individual signing this Agreement affirms that they are at least 18 years of age and have full legal authority to
authorize service, approve charges, and bind the property owner, resident, or account holder to this Agreement.
Any approval, authorization, or instruction provided by an adult individual on site shall be considered valid
authorization for the Company to proceed with diagnosis, repair, or part orders.
The Company may refuse or discontinue service if unsafe, unsanitary, or hazardous conditions are present, or if
the appliance is inaccessible. In such cases, service fees remain due. Unsafe conditions include, without limitation,
pest infestation, mold, standing water, structural instability, aggressive animals, hostile or threatening behavior
from the Customer or any person on-site, or any environment or circumstance the technician, in their sole
discretion, deems unsafe or inappropriate for service. The Company may refuse or discontinue service
immediately if such conditions are present, and all service fees shall remain due.3. Scope of Standard Service
Standard service includes removal, repair, and/or reinstallation of the appliance without modifying or disturbing
cabinetry, countertops, flooring, walls, gas lines, plumbing, electrical systems, drains, or vents.
The Customer is responsible for ensuring utilities are safe, accessible, and code-compliant.
The Company does not verify or approve utility systems.
The Company does not modify utility systems or shut-offs unless explicitly required for diagnosis.
Diagnosis does not guarantee repairability, parts availability, or restoration of the appliance to normal operation.
No Certification or System Approval: The Company’s diagnosis, installation, or service work does not constitute
inspection, certification, approval, or warranty of any appliance, installation, gas line, water line, drain, electrical
system, venting system, or related utility. The Customer is solely responsible for ensuring that all connections,
utilities, and installations meet local codes, manufacturer specifications, and safety requirements. The Company
does not perform code compliance evaluations, safety inspections, or system certifications.
The Customer acknowledges that aging, worn, corroded, or brittle components may fail during normal diagnosis,
disassembly, or repair, and such failure shall not be considered negligence by the Company.
The Customer acknowledges that the Company is not responsible for the condition, integrity, or performance of
any pre-existing utility lines, valves, shutoffs, wiring, venting, flooring, cabinetry, or installation surfaces.
Diagnostic assessments are based on observed symptoms at the time of service and may require completion of
recommended repairs to confirm root cause. Declining recommended repairs limits diagnostic accuracy and voids
related complaints.
4. Limited Non-Standard Work (Trim, Flooring, Fixtures)
If the technician performs non-standard work (removing trim, flooring, cabinetry components, etc.), these
materials may break or sustain damage due to age, brittleness, hidden conditions, or installation methods. The
Customer accepts responsibility for this risk. The Company is not liable except in cases of clear, proven
negligence.
The Customer understands that such damage is not considered negligence unless caused by
willful, wanton, or reckless conduct
The Customer acknowledges and agrees to the terms described in this section.
5. Utility Shut-Off Handling (Gas, Water, Electrical)
Technicians may need to turn shut-offs on or off. Shut-offs may be old, corroded, stuck, or failing prior to arrival.
Normal operation may cause leaks or failure.
The Customer accepts responsibility for such failures unless caused by clear, proven negligence. The Company is
not responsible for damages caused by failed or defective utility connections.The Customer understands that such damage is not considered negligence unless caused by
willful, wanton, or reckless conduct
The Customer acknowledges and agrees to the terms described in this section.
6. Unsafe Appliance – Customer Responsibility for
Disconnection
If an appliance is deemed unsafe, the Customer may be instructed to disconnect power or shut off water or gas.
The technician may be unable to operate shut-offs due to age, corrosion, or inaccessibility.
In such cases, disconnection becomes the Customer’s responsibility. The Company is not liable if the customer
fails to disconnect an unsafe appliance.
The Company cannot be held responsible for consequences arising from the continued use of an unsafe
appliance.
The Customer acknowledges and agrees to the terms described in this section.
7. Customer Duty to Follow Safety Instructions
If the technician advises the Customer not to use an appliance due to a safety risk, the customer must follow that
advice.
If the Customer continues to use the appliance, they accept full responsibility for any resulting damage or injury.
The Company is not liable for consequences of ignoring safety instructions.
The Customer acknowledges and agrees to the terms described in this section.
8. Food Safety, Spoilage, and Foodborne Illness
Cooling failures may cause food spoilage or unsafe temperatures.
The Customer is responsible for discarding unsafe food and following USDA guidelines.
The Company is not liable for food spoilage, foodborne illness, or related losses.
The Customer acknowledges and agrees to the terms described in this section.
9. Pre-Existing Conditions DisclaimerThe technician is not responsible for failures caused by appliance age, hidden defects, prior improper repairs,
unsafe installations, or manufacturer defects.
The Customer confirms that all information provided about the appliance, its installation, prior repairs, and
symptoms is accurate to the best of their knowledge.
The Customer acknowledges and agrees to the terms described in this section.
10. Moving Appliances – Risk of Damage
Moving appliances may cause unavoidable damage to floors, walls, cabinetry, or the appliance itself.
The Company is not responsible for minor cosmetic damage such as scratches, scuffs, dents, or marks to floors,
walls, cabinets, trim, or appliances resulting from normal appliance movement or handling.
The Company does not remove doors, modify trim, cut countertops, or alter home structures to complete service.
If obstructions prevent safe completion, the Customer remains responsible for all service fees.
The Customer understands that such damage is not considered negligence unless caused by
willful, wanton, or reckless conduct
The Customer acknowledges and agrees to the terms described in this section.
11. Working With Water – Risk of Leaks or Flooding
Water components may fail or leak during or after service.
The Company connects only to existing, functional shutoff valves that are compatible with standard fittings. The
Company is not responsible for leaks or failures caused by aged, defective, or seized shutoff valves.
The Company is not responsible for the failure of any Customer-supplied or Company-supplied hoses, water lines,
adapters, couplings, or fittings, as the Company is not the manufacturer of these components.
The Customer understands that such damage is not considered negligence unless caused by
willful, wanton, or reckless conduct
The Customer acknowledges and agrees to the terms described in this section.
12. Working With Gas – Risk of Leaks or Ignition
Gas appliances carry inherent risks. The Company is not liable except in cases of clear, proven negligence.The Customer understands that such damage is not considered negligence unless caused by
willful, wanton, or reckless conduct
The Customer acknowledges and agrees to the terms described in this section.
13. Cooling Equipment – Risk of Failure or Spoilage
Cooling systems may fail unpredictably before, during, or after service.
The Customer understands that such damage is not considered negligence unless caused by
willful, wanton, or reckless conduct
The Customer acknowledges and agrees to the terms described in this section.
14. Sealed System Diagnosis
Opening or tapping a sealed system renders the appliance nonfunctional until further repairs are completed.
Costs cannot be determined prior to diagnostics.
The Company is not responsible for loss of use or spoilage resulting from sealed system diagnostics.
The Customer acknowledges and agrees to the terms described in this section.
15. Glass Cooktops – Risk of Breakage
Glass or ceramic cooktops may crack during lifting or removal due to design, adhesive, or age.
The Customer understands that such damage is not considered negligence unless caused by
willful, wanton, or reckless conduct
The Customer acknowledges and agrees to the terms described in this section.
16. General Limitation of Liability (CONSPICUOUS
NOTICE)EXCEPT IN CASES OF CLEAR, PROVEN GROSS NEGLIGENCE, THE COMPANY IS NOT LIABLE FOR INDIRECT,
INCIDENTAL, CONSEQUENTIAL, OR SPECIAL DAMAGES, INCLUDING FOOD SPOILAGE, LOSS OF USE, OR
PROPERTY DAMAGE. LIABILITY IS LIMITED TO THE AMOUNT PAID FOR THE SPECIFIC SERVICE PERFORMED.
NOTWITHSTANDING ANYTHING IN THIS AGREEMENT, THIS LIMITATION OF LIABILITY AND LIABILITY WAIVER
SHALL NOT APPLY TO DAMAGES CAUSED BY THE WILLFUL, WANTON, OR RECKLESS CONDUCT OF THE
COMPANY.
EXCEPT FOR THE COMPANY’S EXPRESS 14 DAY LIMITED WORKMANSHIP GUARANTEE (AS SET FORTH IN
ADDENDUM A), AND ANY EXPRESS WARRANTY PROVIDED IN WRITING AT THE TIME OF SERVICE, ALL SERVICES
AND PARTS ARE PROVIDED “AS IS.” THE COMPANY DISCLAIMS ALL OTHER WARRANTIES, EXPRESS OR
IMPLIED, INCLUDING THE IMPLIED WARRANTY OF MERCHANTABILITY AND THE IMPLIED WARRANTY OF
FITNESS FOR A PARTICULAR PURPOSE.
Any new, unrelated, or subsequently occurring issues with the appliance constitute a separate service visit subject
to standard diagnostic and labor rates.
The Customer acknowledges receiving or having access to the Company’s 14 Day Limited Workmanship
Guarantee (ADDENDUM A) prior to or at the time of service, and agrees that it governs workmanship-related
remedies.
No verbal statements, estimates, or representations made by the technician shall modify or expand the terms of
this Agreement.
The Company is not responsible for manufacturer defects, design flaws, or inherent appliance failures.
The Company does not guarantee the detection of all defects, hazards, or unsafe conditions that may exist in the
appliance or surrounding installation.
The Company’s responsibility ends once the technician departs from the property. Ongoing use, monitoring, and
maintenance of the appliance are solely the Customer’s responsibility.
The Customer acknowledges and agrees to the terms described in this section.
17. Dispute Resolution & Arbitration Agreement
(INCLUDING TORT CLAIMS)(CONSPICUOUS NOTICE)
The Customer acknowledges and agrees that this Arbitration Agreement includes claims sounding in tort
(including negligence and gross negligence), contract, and statute.
Mediation Requirement. Before submitting any dispute to arbitration, both parties agree to attempt to resolve the
matter through good-faith mediation. Mediation shall occur within Polk County, Iowa, unless otherwise agreed in
writing. If mediation does not resolve the dispute within 30 days of written notice, the matter shall proceed to
binding arbitration.Binding Arbitration. Any dispute arising from this Agreement will be resolved through final and binding arbitration,
not in court. The Customer knowingly waives the right to a judge or jury trial and the right to participate in any
class action or representative action.
Arbitration Location. Arbitration shall take place exclusively in Polk County, Iowa.
Venue Clause. The parties agree that any legal action, arbitration, or proceeding arising out of or related to this
Agreement shall be brought exclusively in Polk County, Iowa. The Customer agrees to this designated venue and
waives any objection based on inconvenience or lack of jurisdiction.
Opportunity to Consult Counsel. The Customer acknowledges that they have had the opportunity to consult
independent legal counsel prior to signing this Agreement and that they sign it voluntarily and with full
understanding of its terms.
The parties shall share arbitration costs equally. Each party shall bear its own attorney's fees unless the arbitrator
determines a claim to be frivolous.
The Customer acknowledges and agrees to the terms described in this section.
18. Body Camera Consent
The technician may record audio and video for safety, quality control, documentation, and dispute resolution.
Any audio or video recordings made by the Customer may not be edited, altered, or used out of context in any
dispute.
The Customer acknowledges and agrees to the terms described in this section.
19. Referral & Third-Party Contact Sharing Consent
(CONSPICUOUS NOTICE)
With the Customer’s express permission, the Company may refer trusted third-party service providers (such as
professional dryer vent cleaning services) when the technician believes such service is beneficial for appliance
safety, maintenance, performance, or risk reduction. With the Customer’s consent, the Company may share the
Customer’s name, service address, and contact information with the referred provider solely for the purpose of
contacting the Customer regarding the recommended service.
The Customer understands and acknowledges that teh Company may receive a referral fee or commission if the
Customer chooses to hire the recommended provider. The Customer’s information will not be sold or shared for
unrelated marketing purposes. Consent is voluntary and may be withdrawn at any time by providing written notice
to the Company.
I consent to Iowa Appliance Repair sharing my contact information with a trusted referral provider as
described above.
I do NOT consent.
20. Credit Card Authorization & Chargeback Policy
The Customer authorizes charges for service and agrees not to initiate a chargeback for valid services.
All payments for diagnostic fees, service fees, labor, and any parts installed are final and non-refundable, except
as expressly provided under the Company’s 14 Day Limited Workmanship Guarantee (Addendum A) or as
otherwise required by applicable law. This non-refundable policy is subject only to the remedies provided under
the Company’s 14 Day Limited Workmanship Guarantee (Addendum A). The Customer further agrees that credit
card disputes (chargebacks) may not be used as a means of obtaining a refund.
If the Customer fails to respond to repair recommendations or invoices within 14 days, the service ticket may be
closed and any parts ordered will be billed to the Customer.
The Customer remains responsible for all charges not covered or paid by any warranty provider, insurer, landlord,
property manager, or other third party.
The Customer acknowledges and agrees to the terms described in this section.
21. Electronic Signature Consent
The Customer agrees that their electronic signature has the same legal effect as a handwritten signature.
The Customer acknowledges and agrees to the terms described in this section.
22. Severability
If any part of this agreement is invalid, the remainder stays in effect.
23. Entire Agreement & No Oral Modifications
No verbal statements modify this agreement. Failure to enforce a provision does not waive it.
In the event of any conflict, the following order of control applies: (1) any executed Settlement Agreement; (2) any
executed No-Guarantee Waiver; (3) Addendum A (14 Day Limited Workmanship Guarantee); and (4) this
Agreement.Nothing in this Agreement restricts the Customer from sharing honest opinions or experiences; however, the
Customer agrees not to publish or communicate false statements of fact about the Company, including
statements made with knowledge of their falsity or reckless disregard for the truth.
24. Customer Inspection and Acceptance (CONSPICUOUS NOTICE)
Before the technician departs, the Customer must inspect the appliance and surrounding work area and report
any concerns, visible damage, or issues directly to the technician. Failure to raise concerns at the time of service
constitutes acceptance that the appliance and work area were left in satisfactory condition. Post-departure claims
regarding pre-existing conditions, cosmetic damage, or issues that would have been reasonably observable at the
time of service may not be honored.
The Customer agrees that photographic or video documentation obtained by the technician may be used to
confirm the condition of the appliance and surrounding area at the time of service.
Post-departure claims for cosmetic damage, incomplete work, or dissatisfaction will not be honored.
The Customer acknowledges they have had the opportunity to read this Agreement and may decline service if
they do not wish to agree to its terms.
25. Customer Signature
Customer Signature:
Signed Date: (MM/DD/YYYY)
Signature Certification:
By signing, the individual affirms that the signature provided is their own, that they are at least 18 years of age,
and that they have full legal authority to authorize service, approve charges, and bind the property owner,
resident, or account holder to this Agreement. The signer certifies that all information provided is true and
correct. Any mark placed in the signature field shall constitute the signer’s legally binding signature.
Rev. 04/2026 – Iowa Repair Center LLC
This Agreement is the property of Iowa Repair Center LLC and its authorized brands, trade
names, and DBAs. Unauthorized reproduction or use is prohibited.
ADDENDUM A:
14 DAY LIMITED WORKMANSHIP GUARANTEE - APPLIANCE REPAIR
This Addendum is incorporated by reference into the Appliance Repair Service Agreement & Terms of Service and
forms an inseparable part of that agreement.
This Addendum applies only to appliance repair services described in this Agreement and
does not apply to dryer vent cleaning or any other service provided by the Company.
Iowa Repair Center LLC, including Iowa Appliance Repair, Pure Air Dryer Vent Cleaners,
Surge Appliance Repair and Dryer Vent Cleaning, Surge Dryer Vent Cleaning, and SURGE,
and any affiliated entities, subsidiaries, divisions, trade names, and DBAs associated with
those brands, collectively referred to in this Addendum as the “Company,” provides a 14-Day
Limited Workmanship Guarantee on the part installed by the Company and the labor involved
in installing that part correctly. The Company guarantees the part and the installation of
that part — not the Customer ’s reported symptom. Workmanship does not include
diagnostic accuracy, confirmation of root cause, or assurance that the installed part
will resolve all symptoms, and the persistence of a symptom does not constitute a
failure of workmanship.
If the part installed by the Company is found to be defective, or if there is an issue
directly caused by the installation of that part within 14 days of the service date, the
Company will return and correct that specific issue at no additional labor charge.
Defective parts will be replaced under the manufacturer ’s warranty whenever
possible. If the part is not covered by warranty or is non-returnable, the Customer is
responsible for the cost of the replacement part at standard retail pricing.
If the appliance continues to have the same symptom (such as noise, cooling issues,
heating issues, vibration, leaking, etc.) but the cause is different, or if any other
component fails, this is considered a new and separate repair. Standard diagnostic,
labor, and parts charges will apply. Mechanical appliances often contain multiple worn
or failing components, and replacing one component does not guarantee that all
symptoms will be resolved or that the appliance will return to “like-new” condition.
Certain repairs may be excluded from this Guarantee when noted in writing at the
time of service, such as customer-requested work performed against technician
recommendations or repairs for which the customer signs a No-Guarantee Waiver.
This Guarantee does not apply to repairs performed under manufacturer warranty or
third-party protection plans, which are governed by their own terms and require all
follow-up requests to be submitted to the warranty provider. It also does not apply to
unrelated, new, or undiagnosable issues; failures occurring after the original repair; or
damage caused by misuse, neglect, improper installation by others, or failure to follow
manufacturer recommendations.
All labor charges, diagnostic fees, and services are final. Refunds are not offered.
By accepting service, the Customer acknowledges and agrees to this 14-Day Limited
Workmanship Guarantee and understands the inherent limitations of diagnosing and
repairing complex mechanical appliances.