Service Request Information
Product Description
Product
Description*
Manufacturer
Serial Number
Computer Problem
Desktop
Software Problem
-
Locking Up
Blue Screen
Non-System Disk
Fatal Exception Errors
Will not boot to Windows
Other
Hardware Problem
-
Power, No Video
No Video
No Power
Imminent Hard Drive Failure
Hard Drive Making Excessive Noise
Non-System Disk
Memory Error
Floppy Drive Not Working
CD-ROM Not Working
CD Burner Not Working
Keyboard Not Working
Mouse Not Working
Hard Drive Controller Error
Other
Laptop
Software Problem
-
Locking Up
Blue Screen
Non-System Disk
Fatal Exception Errors
Will not boot to Windows
Other
Hardware Problem
-
Line Down Screen
No Display
No Power
Will Not Boot From Battery
Will Not Boot From AC
PCMCIA Card Not Working
Internal Modem Not Working
Internal NIC Not Working
Will Not Charge Battery
Imminent Hard Drive Failure
Hard Drive Making Excessive Noise
Keyboard Not Working
Mouse Not Working
Other
Server
Software Problem
-
Line Down Screen
No Display
No Power
Will Not Boot From Battery
Will Not Boot From AC
PCMCIA Card Not Working
Internal Modem Not Working
Internal NIC Not Working
Will Not Charge Battery
Imminent Hard Drive Failure
Hard Drive Making Excessive Noise
Keyboard Not Working
Mouse Not Working
Other
Operating System
-
Windows 2003 Server
Windows XP Professional
Windows NT 4.0 Workstation
Windows NT 4.0 Server
Windows 2000 Professional
Vista
Windows 2000 Server
Novell Netware 4.x
Novell Netware 5.x
Novell Netware 6.x
Other
Hardware Problem
-
Power, No Video
No Video
No Power
Imminent Hard Drive Failure
Hard Drive Making Excessive Noise
Non-System Disk
Memory Error
Floppy Drive Not Working
CD-ROM Not Working
CD Burner Not Working
Keyboard Not Working
Mouse Not Working
Hard Drive Controller Error
Fan Not Working
Other
Network Environment
-
Local Area Network (LAN)
Wide Area Network (WAN)
Other
Printer
Issue
Dot
Matrix
-
Paper Not Feeding
Character Voids
Faint Print
No Power
Getting Blinking Lights
Printing Garbage
Other
Inkjet
-
Only Printing 1 Color
Not Printing a Color
Character Voids
Paper Pickup Problems
No Power
Getting Blinking Lights
Printing Garbage
Other
Laser
-
No Power
Image Defect
Service Error Number
User Maintenance
Paper Pickup Problems
Paper Jams
Print Faint
Unusual Noise
Print Smudging on Paper
Printing Garbage
Other
All-in-One
-
Scanning Problems
Copying Problems
Image Defect
Paper Pickup Problems
Paper Jams
Fax Not Working
Print Faint
No Power
Printing Garbage
Other
Other
Component
Issue
Monitor
-
Blurry Picture
No Power
Power, No Picture
1 Color Tint
Too Bright
Too Dark
Other
Parts
-
Hard Drive
Video Card
NIC Card
Memory DIMM
Keyboard
Mouse
Hub
Router
Other
Accessories
-
Scanner- No Power
Scanner- Will Not Scan
Docking Station- Will Not Eject Laptop
Docking Station- NIC Not Working
Convenience Base- Will Not Eject Laptop
External Modem- Will Not Dial Out
External Floppy Drive- Will Not Read Floppies
External CD-ROM- Will Not Read CD/DVDs
Palm Pilot
Other
Contact Information
Name*
Company*
E-mail *
Address *
Suite
City/State/Zip
Code*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Phone/Ext.*
Fax
Comments