SWS Service Request & Intake

SWS Service Request & Intake

Please fill out this Request form for Service.

Contact Information

Your Business/Organization Name*

Are you a new Customer with us?*

Yes

No, we do regular work with you.

No, but its been awhile

I'm not sure

What is your Facility Address?*

Your Name*

Your Email Address?*

So we can contact you with any questions prior to scheduling

OnSite Contact Phone #(cell phone perferred)*

For access or question during the Service Appointment

I am a Manufacturer requesting a Waranty Service

Select or enter value

Warranty Customer Biz Name (If applicable)

Warranty Customer Contact Name & Phone/email

Email for Appointment reminders

So we can inform the right people of the day/time we are coming.

Please list any scheduling restrictions

Day/Times your business is closed

Invoicing Information

We know the method of payment can differ for some of you depending on location, equipment, or even the issue you are experiencing. So please let us know how we should prepare the invoice for this visit.

Payment method*

Select or enter value

PO # to be used*

We will include this on the invoice to make things easy for you and your Accounting dept.

Email for Invoice*

Equipment and Issues

Type of Equipment*

Select or enter value

Describe equipment

Location of Equipment (Address/Bldg/Room)*

SWS ID number of equipment

Please provide if available if your equipment does not have a SWS Id tag on it, please leave this flied blank.

Equipment Make/ Manufacturer*

Equipment Model #

Equipment Serial #

Detailed description of Issue*

Provide as much information as you can, including any Error codes that may be displayed.This will help us schedule you and prepare for the service call.

File Upload

If you have nay equipment pictures or cycle print outs that might be helpful please attach here.

Drag and drop files here or

Send me a copy of my responses

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