Copyright © 2012 by Xerox Corporation. All rights reserved. 604E56261 Page 9
Comments: (Xerox U.S. personnel - please add all comments into FIST)
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PLEASE NOTE ADDITIONAL GENERIC, NON-XEROX INK INFORMATION
• Was generic ink or related packaging observed? YES NO
• Was generic ink present in the Ink Loader? YES NO
IMPORTANT
– Note the brand and lot code of the generic ink, if available.
A completed checklist and
sample prints must be returned with each Printhead.
Xerox reserves the right to refuse reimbursement
to service personnel who do not
enclose a completed the Troubleshooting Checklist and a sample print from the
malfunctioning Printhead with each returned Printhead.
RETURN THE FOLLOWING ITEMS WITH THE DEFECTIVE PRINTHEAD:
• Two prints of Light Stripes Test showing the observed
printing defect. (This is not necessary for Printhead
replacement because of an error code.)
• This Printhead Troubleshooting Checklist (filled out)
• Inventory control “White Tag” (filled out)
• Additional Sample prints that clearly show the observed
print quality defect (not necessary for Printhead
replacement because of a fault code)
Light Stripes Test
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