Copyright © 2016 TOSHIBA TELI CORPORATION, All rights reserved.
http://www.toshiba-teli.co.jp/en/
D4253386C
In order to grasp the details of failure,
please fill out the following information, and send us the defective product with this report sheet enclosed.
(1) Customer information
Company Name
Department
Your Name
Telephone number
E-Mail address
FAX number
Postal code number
Address
(3) We suggest a possible solution before your repair request.
Please ensure your safety w hen you check follow ing item s.
Please handle pow er supply w ith proper procedure, and m ake sure it does not im pede any operation.
a) Restart the power supply of this product.
Check
→
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Tried
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Not Tried
Please turn off this product once, switch on a power supply again after passing for a while, and confirm operation.
b) Exchange for other products.
Check
→
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Tried
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Not Tried
Please exchange for other same products, and confirm operation.
c) Connect to other PC systems.
Check
→
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Tried
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Not Tried
Please connect this product to other PCs, and confirm operation.
d) Check Specifications of this product.
Check
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Tried
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Not Tried
Please confirm that specifications of this product conform to usage environment refering to following URL.
URL:http://www.toshiba-teli.co.jp/index.htm
Please check our website for the latest information.
(4) Failure situation
Model name
Serial No.
Your dealer
Purchase date
Failure condition:
(5) From when
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Unknown
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From the beginning
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After a while
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After environment was changed.
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Others
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(6) Occurrence frequency
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Unknown
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It certainly occurs.
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It sometimes occurs.
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It occurs, after time passes.
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Others
）
Reception date :
Receipt No. :
JOB No. :
Check :
(Please fill out the phenomenon in detail.)
The offered personal information is not used for any purposes other than after-sale service, such as repair of a product and an
inquiry, and the questionnaire of the improvement in customer satisfaction.
Moreover, except for the case where it commissions within limits required for the above-mentioned purpose achievement, it does not
indicate to a third party without a visitor's consent.
We pay careful attention and manage a visitor's information.
Failure situation report sheet
<For dealer use>
■
Entry date
(2) Return address
Please fill out this information, if the return addrrss is different from above address (1).
Ver.2.06
■
Accurual date
