| WHO IS RETURNING THE EQUIPMENT?
| Date:
|
| Person to contact:
| Phone:
|
| Alternate contact:
| Phone:
|
Return shipping address:
| Special shipping instructions:
|
| WHAT ARE YOU SENDING?
|
| Model name:
| Model number:
| Serial number:
|
| Please attach any relevant printouts. Do NOT ship accessories (manuals, cleaning supplies, and so on) that are not required to complete the repair.
|
| HAVE YOU REMOVED THE PRINT CARTRIDGES?
|
| You must remove them before shipping the printer, unless a mechanical problem prevents you from doing so.
|
| [ ] Yes.
| [ ] No, I cannot remove them.
|
| 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. If the unit connected to any of the following, give the manufacturer and model number.
|
| Personal computer:
| Modem:
| Network:
|
4. Additional comments:
|
| HOW WILL YOU PAY FOR THE REPAIR?
|
| [ ] Under warranty
| Purchase/received date:
|
| (Attach 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:
| Phone:
|
Billing address:
| Special billing instructions:
|