Toughbook Support (Rev 1.2020)

2. Name*

3. 5 Digit Number*

4. Work Phone Number

6. Shift

7. Work Location

8. Computer # (SHRxxxx)*

9. Date Problem Started
   Date Problem Started

11. Issues

    Please select all issues you are experiencing. Describe specifics in the box below.

    1. GPS
    2. Aircard Connectivity
    3. Laptop Keyboard not Working
    4. Tablet Won't Charge
    5. Batteries not Holding a Charge

    1. USB Ports Not Working
    2. Touchscreen
    3. Missing Equipment in Car (Printer, Scanner)
    4. Incorrect Dock in Car
    5. Other (Please Specify)
13. Frequency/Severity of Issue
    -- Select One --One TimeMultiple Times a ShiftSeveral Times a WeekConstantlyLaptop is Unusable

15. GPS Error

17. Aircard Connectivity Error

19. Laptop Keyboard not Working Error

21. Tablet Won't Charge Error

23. Batteries not Holding a Charge Error

25. USB Ports Not Working Error

27. Touchscreen Error

29. Missing Equipment in Car

    Please specify which equipment.

31. Incorrect Dock in Car

    Please specify what is installed and what you should have installed instead.

33. Other Error

    Please Specify.

Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field