Xerox Phaser 3200MFP, Service Manual

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Form EH&S-700 (27Mar2007)
Product Description
Model No. or Product name
:
Product Serial
:
Serial Number(s) of Accessory (ies):
Installation Date: Total Copy Meter
:
Date of last service maintenance
:
List damaged and affected part(s) of the machine by description and part number
:
Description Part Number
Location of product and affected part(s):
Individual Providing Notification
Name
:
Title
:
Telephone Number
:
Organization
:
E-Mail:
Mailing Address
:
Date Report Submitted
:
Instructions:
E-mail or fax this completed form to EH&S:
For incidents in
Xerox Europe
and
Developing Markets East
(Middle East, Africa, India, China, and Hong Kong)
please
e-mail:
Elaine.Grange@xerox.com or
fax
: +44 (0) 1707 35 3914 [intelnet 8*668 3914]
Note: - If you fax this form, please also send original by internal mail
For incidents in
North America
and
Developing Markets West
(Brazil, Mexico, Latin American North and Latin American South)
please
e-mail
: Doris.Bush@xerox.com or fax 585 422 6449 [Intelnet 8*222 6449]