Xerox Business Solutions Southeast Service Request Tool eAutomate

Equipment ID Number *

- OR -

Serial Number (no dashes) *

Equipment Zip Code (5 digits only) *

(Contact must be the person the technician will be speaking with)

Name *

Phone *

Email *

Office Hours *

If the equipment address displayed is incorrect, please contact us directly or put a note in the Problem Description area below.

Customer Name

Street Address

City

State

Zip

Internal Reference Number

Serial Number

Equipment ID Number

Model Number

Problem Description * (250 chars. max)