Technical Support Service Check-in Form
Please provide the following information to check in your device for technical support. This will help us process your request efficiently.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Contact Method
*
Email
Phone
Text Message
Device Type
*
Please Select
Laptop
Desktop Computer
Tablet
Smartphone
Printer
Other
Device Brand and Model
*
Device Serial Number
Accessories Left with Device (select all that apply)
Charger/Power Adapter
Carrying Case
External Mouse/Keyboard
Cables
None
Other
Describe the Issue or Service Needed
*
Is the device under warranty?
*
Yes
No
Not Sure
Date of Check-in
*
-
Month
-
Day
Year
Date
Service Urgency
*
Standard (Regular turnaround)
Urgent (Expedited service, extra charges may apply)
Have there been previous repairs on this device?
Yes
No
Additional Notes or Comments
Check In Device
Should be Empty: