Service Information Form
WHO IS RETURNING THE EQUIPMENT?
Person to contact:
Phone: ( )
Phone: ( )
Return shipping address:
Special shipping instructions:
WHAT IS BEING SENT?
Please attach any relevant printouts when returning equipment. DO NOT ship accessories (manuals, cleaning supplies,
etc.) that are not required to complete the repair.
WHAT NEEDS TO BE DONE? (Attach a separate sheet if necessary.)
1. Describe the conditions of the failure. (What was the failure? What were you doing when the
failure occurred? What software were you running? Is the failure repeatable?)
2. If the failure is intermittent, how much time elapses between failures?
3. Is the unit connected to any of the following? (Give manufacturer and model number.)
4. Additional comments:
HOW WILL YOU PAY FOR THE REPAIR?
Purchase/received date: ____________________________
(Enclose proof of purchase or receiving document with original received date.)
Maintenance contract number: ______________________
Purchase order number: ___________________________
Except for contract and warranty service, a purchase order number and/or authorized
signature must accompany any request for service. If standard repair prices do not apply,
a minimum purchase order is required. Standard repair prices can be obtained by contacting
an HP-authorized Repair Center.
Authorized signature: ______________________________
Special billing instructions:
114 Chapter 5 Service and Support