Error Report Form Element RC

Fill in a separate form for each error code. Needed information can be found from the error code receipt printed by the device. Attach the scanned or photographed error code receipt to the form. The Error Report Form must be sent within one month from the date of the error.

Customer name / number(Required)

Serial number(Required)

Software version(Required)

Product name and number(Required)

Date of error(Required)

LOT number(Required)

Error code(Required)

Error code receipt(Required)

Drop files here or

Max. file size: 10 MB, Max. files: 3.

Attach scanned or photographed receipt

Form filled by

Name(Required)

Email(Required)

Additional information