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Your Name *

Company Name

Branch

Exact location of this machine (ex:receiving dept.)

Phone Number *

Your Email *

Make

Model

Meter

Total

Black

Color

Important:

Most machines have a power on/off switch that is NOT on the control panel. (inside the front door or on the side of the machine)

After noting the failure code or message, turn off for 10 full seconds. After powering on, is the machine coming to a ready state?
YesNo

If no, skip down to the "Describe the problem" field and tell us anything you know happened prior to failure (power surge, just added toner, machine was moved or stored, etc)

Nature of problem

Image Quality:
OKLightDarkLinesSpotsCrooked

Misfeed (no paper found inside):
YesNo

Jam (paper found inside):
YesNo

Noise:
When coldAfter getting hotConstantRepeating/cyclical

The trouble happens during (check all that definitely apply):
PrintCopyScanFax

Won't PRINT from one computer:
YesNoNot set up to print

Will it print from any other computer?​
YesNo

Will it print from a different program?
YesNo

Copiers

Will it copy from the glass?
YesNo

Will it copy using the Auto Document Feeder (ADF)?
YesNo

If it's an image problem, is it different comparing glass vs. ADF copies?
YesNo

If set up for scan, trouble evident when scanning from the glass?
YesNo

Trouble evident when scanning from the ADF?
YesNo

Describe the problem:

(Tell us anything you know happened prior to failure (power surge, just added toner, machine was moved or stored, etc.)

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