Requestor Full Name (required) Company/Organization Telephone Your Email (required) Site Contact Information Site Contact Site Contact Phone Product Information Product Model Serial Number Machine Location Address City State Zip Code Jammed Paper or DocumentsImage Quality IssuesExcessive Machine NoiseProgramming and FeaturesNetwork ConnectivityBroken Part/Damaged MachineOther Subject Problem Description: Problem Description Include what you were trying to do when the product exhibited the problem. Also include any other clarifying information such as fault codes, peripherals, operating system, application being used, device driver versions and overall configuration.