Computer Service Report Sample

The following is a reproduction of forms by Tigarus Solutions, actual forms will differ, all information provided has been fabricated for presentation purposes.

Copyright 2010 by Tigarus Solutions, ALL RIGHTS RESERVED, DO NOT COPY.

Page 1: Computer Admissions Form

Computer Information

Computer

Brand:

Dell

Family:

Inspiron

Series:

3000

Model:

L50

Serial:

AOX1597235555

Form Factor:

mATX

Proprietary

Year:

2008

Platform:

Apple

Linux

Windows

Accessory 1 Accessory 2 Accessory 3 Accessory 4
Mouse & Keyboard External HDD    

Services & Symptoms

General Questions
Computer Turns On?Boots to Desktop?Random Reboots?Recent Power Outages? Error Messages?Blue/Black Screens?Programs Crash/Freeze?Computer Freezes? Software Stopped Working?Hardware Stopping Working?USB Works?Internet/Network Works?
Check for Yes
Symptoms and Notes
Very slow starting up
Random restarts
Requested and Recommended Services
Hardware services
Possible hard drive failure
* Attached Disclaimers
Customer Permissions

Permission granted to trouble shoot and investigate known software issues.

Permission granted to view or access private information.

 

 

Registered Owner
ID: 1 Name: Patrick S. Phone #555-5555
Organization: Tigarus Solutions Type:Business

For returning customers | New customers must first register


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