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Appendix B:
Note: For the fastest service, please submit your form via the Internet.
Date Submitted: _______________________________________________________
Company Name: ______________________________________________________
Contact Name: ________________________________________________________
Email Address: _______________________________________________________
Intel Server Product: ___________________________________________________
Priority (Critical, Hot, High, Low): _______________________________________
Brief Problem Description. Provide a brief description below. See the last page for space
to include a detailed problem description.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Board / Chassis Information
Baseboard Revision - PBA#: _____________________________________________
Baseboard Serial Number: _______________________________________________
CPU1 Speed/Stepping/Spec: _____________________________________________
CPU2 Speed/Stepping/Spec: _____________________________________________
System BIOS Version: __________________________________________________
HSC Firmware Version: _________________________________________________
Chassis Model: ________________________________________________________
®
Intel
Server System SR1695WB Service Guide
®
Intel
Form
®
Intel
Server System SR1695WB: __________________________________
Server Issue Report
69
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