Service information form – HP 1100A User Manual

Page 121

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Service information form 121

Service information form

Service information form

Who is returning the equipment?

Date:

Person to contact:

Phone:

Alternate contact:

Phone:

Return shipping address:

Special shipping
instructions:

What is being sent?

Model number:

Serial number:

Please attach any relevant printouts when returning equipment. Do not ship
accessories that are not required to complete the repair (manuals, cleaning supplies,
etc.)

What needs to be done?
1. Describe the conditions of the failure (What was the failure? What were you doing
when the failure occurred? What software were you running? Can you make the
failure reoccur?)

2. If the failure is intermittent, how much time elapses between failures?

3. Is the unit connected to any of the following? (Please provide manufacturer and
model numbers.)
Personal Computer: Modem: Network:

4. Additional comments:

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