Sign Off Form re: Repairs

[Jane H.]

Does anybody recommend a sign-off form I should provide to Tenants after I had major repairs done from a shower valve leak ?(ruined an entire bathroom, and some adjoining flooring).  (I paid out of pocket, as insurance refused to cover, to a very reputable contractor, after water mitigation was done). . I was going to write something to the effect “Tenants acknowledge all repairs were completed so that property is once again satisfactorily habitable.”

Thanks in advance