ONLINE SERVICE REQUEST

Please submit your request for service at any time, however our hours of operation are Monday through Friday 8 a.m. – 5 p.m. If you have questions please call us at 479-636-0001. Our number for after hours and weekend service is also 479-636-0001.

Please complete the form below as thoroughly as possible and click submit. This information will be sent to our dispatch department. You will receive a phone call within two hours to confirm your request.

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Please provide the following information so we can confirm your request and give you an estimated time of arrival:

Name:

Department:

Organization:

Work Phone:

Email:

Is the contact person the same person that submitted this request?
If it is not, please enter that information in the boxes below.

Contact Name:

Department of Contact:

Phone Number and Extension:

Please provide the entire ID number from the PBS Sticker
on the front of the machine which needs service.

Service request:	Main Copier/Printer Jamming Document Feeder Jamming Finisher Jamming Error Code Poor Color Quality Lines on Copies Light Copies Dark Copies Unable to Print Unable to Scan Other Please Select One
If you selected Error Code, please enter the code:
If you selected Other, please describe:

Please provide a description of the location for the machine and the problem associated with that machine.