Technical Submission Form
Name
Surname
Contact Number
Email
Device Manufacturer
Serial Number
Date of Damage
Physical Address
Message
Device Symptoms
Broken Display
Crash to Blue Screen
Fall Damage
Clicking Sounds
Shuts off Suddenly
Hangs/Freezing
Unable to Startup
Virus/Malware infection
no lights/ indications
Water/Fluid Damage
Noise coming from device
I don't know
Do you Require Device Collection?
Yes
No
Courier Pickup/Drop off
Do you Require a Damage Report for Insurance Purposes?
Yes
No
Please attach picture of the device label at the back of the system/unit.
Send
