SWOL

Service Request Form

To request service for your product please complete form below.

Your Name (required)

Enter your full name.

Clinic Address

(Street, City, State, Country)

Email Address (required)

Fax Number

Who was using the Software when problem occurred?

When did the problem first occur?

Describe the problem in detail

What is the error code on the screen (assuming there is one) ?

Is problem repeatable? Can you make it happen?

Who experienced the problem?

Machine serial number (if available).

On NORM located below CPU.

Software Version

Start HUMAC and select Help, About.

Date of installation

Month/Year

Is this machine under warranty?

Do you have an extended warranty/service agreement?

What phone number should we call? (required)

Ideally it is a phone you can use while operating the machine such as a wireless or cell phone.

When should we call?

The person we call should have at least 15 minutes to work with us.

What timezone are you in?

Does the computer have or could have internet access?

Computers with Internet access are the easiest to repair as we can do a remote log in.

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