HP De skJe t an d De skWrit e r P rin t e rs P rin t e r Re p air Fe e d b ack I n f o rmat io n

HP Printer Repair Sheet

Note To print this form, select “Print” under the “File” menu.

Company Information

Company name: __________________________________________

Address: ________________________________________________

________________________________________________________

Phone number:____________________________________________

Your name: ______________________________________________

Printer Information

Printer model: ____________________________________________

Serial number: ____________________________________________

Date of purchase: __________________________________________

Date that you are sending the printer: ___________________________

Customer code: ___________________________________________

Failure is:

Occasionally intermittent: ___

Frequently intermittent: ___

Continuous: ___

Brand and model of your computer: ____________________________

Version of software you are using: _____________________________

The driver you are using: ____________________________________

Other information about the problem: ___________________________

________________________________________________________

Included Information

Check the following if able to provide additional troubleshooting information.

___Sample printout included

___Printer self-test included

___Unable to print the printer self-test

___Actions taken to resolve the problem and the results

________________________________________________________

________________________________________________________

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