Client Site Information:

Client:
Addr1:
Addr2:
City
Tel:
Email:

Who is making the service request?

Office Manager

What type of service level is required?

Next Day Service - Standard By Noon Next Day Service - Daily By 5 p.m. Next Day Service - Priority By 9:30 a.m. Same Day Service - Four Hour Request Emergency ASAP Call 698-HELP / 425-9326 Scheduled Service - Please Enter Scheduled Time

 

Is expedited service necessary?

 

Is contact necessary before a service technician is dispatched?

Scheduled service requested date and time:

         Date:      Time: 

Service Authorization Code:

What type of service is requested?

New Install Upgrade Service / Support Training

What type of device requires service?

Dell Workstation Camera Other Computer Dell Server Dell Laptop Router Firewall Wireless

 

Service Tag # :

          Express Service Code:

Other Make / Model / Serial No.:

Enter a narrative of the problems you are having: