Intel® Server Issue Report Form
Intel® Server Issue Report Form
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.

Board / Chassis Information

Baseboard Revision – PBA#: DIMM Configuration
Baseboard Serial Number: DIMM1A MB:
CPU1 Speed/Stepping/Spec: DIMM1A Vendor/part number:
CPU2 Speed/Stepping/Spec: DIMM1B MB:
System BIOS Version: DIMM1B Vendor/part number:
HSC Firmware Version: DIMM2A MB:
Chassis Model DIMM2A Vendor/part number:
Intel® SC5200 Base DIMM2B MB:
Intel® SC5200 Base
Redundant Power
DIMM2B Vendor/part number:
Intel® SC5250-E
Intel® SR1350-E
Other (Vendor / Model):
Intel® Entry Server Board SE7221BA1-E User Guide 43