Appendix E: Intel® Server Issue Report Form

Note: An on-line / automatic submission version of this form is available at http:// support.intel.com/support/motherboards/server/S5000PAL/. For the fastest service, please submit your form via the Internet.

Date Submitted: _______________________________________________________

Company Name: ______________________________________________________

Contact Name: ________________________________________________________

Email Address: _______________________________________________________

Intel Server Product: ___________________________________________________

Priority (Critical, Hot, High, Low): _______________________________________

Brief Problem Description. Provide a brief description below. See the last page for space to include a detailed problem description.

____________________________________________________________________

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Board / Chassis Information

Baseboard Revision - PBA#: _____________________________________________

Baseboard Serial Number: _______________________________________________

Chassis Model: ________________________________________________________

CPU1 Speed/Stepping/Spec: _____________________________________________

CPU2 Speed/Stepping/Spec: _____________________________________________

System BIOS Version: __________________________________________________

HSC Firmware Version: _________________________________________________

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Intel S5000PAL manual Appendix E Intel Server Issue Report Form, Board / Chassis Information