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Service Request Form
Please use this form to submit a request for service . Someone at Shore Business Solutions will get back to you shortly.
| Name | |
| Organization | |
| Street Address | |
| Address (cont.) | |
| City | |
| State/Province | |
| Zip/Postal Code | |
| Work Phone | |
| FAX | |
Hours of operation
Please provide the following product information:
EQUIPMENT TYPE
Copier Laser Printer Inkjet Laser Fax Ribbon Fax MFC Other
| Equipment ID | |
| Product Name | |
| Model #/Serial# |
PROBLEM IDENTIFICATION:
Copy Quality:
Too Light Blank Copy Too Dark Black Copy Horizontal Line Vertical Line Void Areas Dark Blotches Repetitive Defect Ghost Image Wrinkled Page Off Center Skewed Print Wipes Off Other
Paper Jam: [page lead edge stops where?]
Auto Doc. Feeder Auto Duplex Unit Manual Feed Paper Cassette Tray Registration Roller Transport Rl. Drum Fuser Unit Sorter Exit after Fuser Unit P/U Multiple Pages Other
Error Code:
Maintenance Wrench Developer Drum Toner Low [False]Waste Toner Jam Code Other
Mechanical:
Gear Skip Sound Grinding Sound Broken Part Other
Electrical:
No Power Panel Lights Only No Button Response Non-Stop Cycling Other
Description of problem
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