SERVICE REQUEST FORM
IntegraServ distributes a wide variety of printers and computer products. Should you need repairs on your equipment, please complete the form below. We will be happy to assist you with your equipment needs. If you are not under a maintenance contract with us, a service representative will be happy to send you a quotation.
Please Check your needs from the list below:
Type of service: Time and Material We have a contract
Location of service Depot On-site
Type of equipment: Data collection Printer equipment Forms handling equipment Other equipment
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Name
Title
Company
Department
Contract #
Model
Serial #
Street Address
City
State
Zip Code
Phone/Ext
Email
PO #
Symptom Select One 420-48V Power Failure - PTX 505-Bad printhead 270-Banding in B/W 260-Banding in color 250-Barcodes do not scan 515-Breaks ribbons 535-Broken glass 500-Broken parts 520-Broken ribbon hub 510-Broken tractor feed 525-Cut in Platen Roller 530-Cutter does not work 135-False Errors "Paper Out" 130-False Paper Jam message 155-Forms/labels do not register 700-Gives error message 999-Have Tech Call 120-Install Equipment 220-Lines in Print 150-Makes Loud/Grinding Noise 110-Meter Reading 140-Missfeeds Paper 210-Missing print 601-Nic Card not communicating 600-No communication 403-No Display or Fan 440-Overheating 125-Paper Jams 145-Paper Motion Fault 115-Perform PCI 105-Perform a PM 203-Prints extra information 240-Poor color quality 400-Power problems 200-Print quality problem 410-Printer will not power on 230-Prints extra information 545-Ribbon never stops turning 540-Ribbon never turns 550-Ribbon wrinkles or folds 555-Screw or parts fell out 570-Skips labels during print 100-Standard Service 575-Stops intermittantly 560-Stuck label/form 235-Supplies Problem 300-Toner replacement 565-Will not calibrate
Brief description of the problem [Maximum 200 words]
