Service Call Picture Submission

Service Call Picture Submission
All fields with *(asterisk) are required. DO NOT UPLOAD UNNECESSARY PICTURES JUST TO FILL A BOX!!
Tech Name*

First NameLast Name
Store Name and #*
example BK1234/Clean1234/JAM1234/BOJ1234
Date of Install, Time must match the time that you check in with Dispatch 561-810-1599 Option 2*

MonthDayYear
Date
Hour MinutesAM/PM Option
IDMB TVIDMB re-mount including new or re using wall or ceiling mountIDMB PlayerODMB TVODMB PlayerDTDPOS EquipmentPrinterNetwork SwitchChefCable replacement (HDMI, Network, Power)KDS MonitorKDS ControllerBump BarOther
This is a service call:

You must take pictures of all equipment involved BEFORE starting your visit and upload multiple pictures to the same upload box below

If you are not sure STOP and call Dispatch 561-810-1599 Option 2 and get guided by one of our NITP Tech representatives

At the end you must upload pictures of all Working Equipment AFTER it that was replaced/swapped or installed new.
Example of Equipment you can be working at:
Picture of all BEFORE SERVICING equipment (UPLOAD AS MANY AS YOU NEED IN THESE 4 Browse files *

Cancelof
Picture of all BEFORE SERVICING equipment (UPLOAD AS MANY AS YOU NEED IN THESE 4 Browse files

Cancelof
Picture of all BEFORE SERVICING equipment (UPLOAD AS MANY AS YOU NEED IN THESE 4 Browse files

Cancelof
Picture of all BEFORE SERVICING equipment (UPLOAD AS MANY AS YOU NEED IN THESE 4 Browse files

Cancelof
Readable Picture of Serial numbers of any equipment being replaced:
Upload here pictures of OLD Serial numbers of any equipment being replaced (as many as you need)

Cancelof
Upload here pictures of OLD Serial numbers of any equipment being replaced (as many as you need)

Cancelof
Picture of new equipment serial numbers
Upload here Pictures of NEW Serial Numbers installed (As many as you need)

Cancelof
Upload here Pictures of NEW Serial Numbers installed (As many as you need)

Cancelof
Picture of shipping labels used
Picture of Return Labels used

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Pictures of all replaced/swapped or install new equipment example below
Pictures of all equipment after the swap/service or install *

Cancelof
Pictures of all equipment after the swap/service or install

Cancelof
Pictures of all equipment after the swap/service or install

Cancelof
Pictures of all equipment after the swap/service or install

Cancelof
Who did you speak to for support (Full Name) *
Important notes during your Install/Visit*
Please elaborate, what was the service call about and if it was completed 100% or why not?
Store Contact Full Name (Must be person in charge of the Store)*

First NameLast Name
MOD/POC/Manager Signature
Tech Signature*
This part of the form is mandatory by Xenial
Xenial Case Number *
Store number *
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Store phone number *
Start Travel*
In Time *
Out Time *
End Travel *
Date Completion*

MonthDayYear
Date
Problem*
Status*
Resolution*
Should be Empty:

Service Call Picture Submission

All fields with *(asterisk) are required. DO NOT UPLOAD UNNECESSARY PICTURES JUST TO FILL A BOX!!

Example of Equipment you can be working at:

Readable Picture of Serial numbers of any equipment being replaced:

Picture of new equipment serial numbers

Picture of shipping labels used

Pictures of all replaced/swapped or install new equipment example below

This part of the form is mandatory by Xenial