Appendix C: Intel
®
Server Issue Report
Form
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.
____________________________________________________________________
____________________________________________________________________
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____________________________________________________________________
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Board / Chassis Information
Baseboard Revision -
PBA#:
DIMM Configuration
Baseboard Serial
Number:
DIMM_A1 MB and
Vendor/part number
CPU1 Speed/Stepping/
Spec:
DIMM_A2 MB and
Vendor/part number
CPU2 Speed/Stepping/
Spec:
DIMM_B1 MB and
Vendor/part number
System BIOS Version: DIMM_B2 MB and
Vendor/part number