Problem Report Form
Problem Report Form
CUSTOMER’S NAME………………………………………………………………………………………………………………………………..
ADDRESS………………………………………………………………………………………….………..TEL……………………….……………….
MACHINE TYPE…………………………………………………………..………S/N…………………..…………………………………………..
PROBLEM ON VISIT
…………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………
WORK DONE
…………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………
SPAREPART USED
SPAREPART REQUIRED
CUSTOMER’S COMMENT
…………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………
NAME:………………..……………………SIGNATURE………………………………………………DATE……………………………………