Motorola Radio Console Repair Request Form
Contact Information
Name
*
First Name
Last Name
Department Name
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Motorola Radio Console Repair Request Form
Date of Occurrence
-
Month
-
Day
Year
Date
Time of Occurrence
Hour Minutes
AM
PM
AM/PM Option
Position number (located on sticker on screen edge of screen):
Monitor (describe issue):
Mouse (failed or intermittent):
Keyboard (failed or intermittent):
Headset Jack (left, Right or both):
Operation of Elite Dispatch (describe problem e.g. Yellow triangle or Red X)
Speaker(s) (Describe problem and location of speaker/function):
Foot Switch (failed or intermittent)?:
Instant Recall Recorder (failed or intermittent)?:
Has the console been re-started? Y/N
Yes
No
Has phone console been re-started? Y/N
Yes
No
Please indicate if this is a Main talkgroup or a backup folder talkgroup:
Main
Backup
If an issue of audio being not clear, is it also affecting field units the same way?: Y/N
Yes
No
Describe in as much detail as possible the problem as you understand it:
If requesting a change to button names or screen layout please provide a description and we will schedule a follow-up visit possibly.
Submit
Should be Empty: