Triton Print & Digital Media Laser Printer Service Request Form

Name Name * First Last
Phone Phone * - ### - ### ####
Email *
Department *
Mail Code *
Building/Room Number *
COA Must include Project No.-Task No.-Funding Source No. *
Printer Information
Select Model *
What is your printer problem?

What is your printer problem? Jamming from the paper cassette entry Jamming at paper exit Accordion copies Light copies Streaks Lines Error Code appears on display: Error Code appears on display:
Other problem:
What service do you need?

What service do you need? Printer cleaning Printer service
Additional information or other printer model number not listed above:
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