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Visit Details

Work Order Number(Required)

Visit Date(Required)

Tech Time In(Required)

Tech Time Out(Required)

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Prodco Support Rep

Name

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Support Log Time In

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Support Log Time Out

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VI1

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VO1

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Did tech leave site during job?

Yes

Reason tech left site(Required)

Tech Time In 2(Required)

Tech Time Out 2(Required)

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Support Log Time In 2

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Support Log Time Out 2

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VI2

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VO2

Your Name(Required)

First Last

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Tech Group(Required)

Select your tech group

Please rate your tech support agent on a scale of 1-5.

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Photo Verf

Standard Photos

You do NOT need to send photos that have already been sent to your Prodco support rep.
Photo(s) must be fully uploaded before submitting form.
Entrance:
– Wide angle photo of each entrance, looking from inside out, floor to ceiling. (sensor must be visible)
Sensor properly mounted:
– Close up of installed sensor at an angle
Network Switch:
– Wide angle of rack or network area
– Close up of switch being used
– If POE Injector is not in use, include a photo of where it is being left at the network area.
Return Package: (if there is hardware being returned)
– Items in box being returned
– Box with tracking label on it ready to be shipped out (Leave with GC or MOD)

Drop files here or

Max. file size: 1 GB.

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Entrance Photos

Wide angle photo of each entrance (floor to ceiling), sensor must be visible in photo.

Drop files here or

Max. file size: 1 GB.

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Network Switch

Picture of network switch location or POS Location.

Drop files here or

Max. file size: 1 GB.

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Sensors Mounted Properly

Close up photo of sensor from an angle

Drop files here or

Max. file size: 1 GB.

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Photo of return package

If a return is needed, photo should show returned package with tracking label on it

Drop files here or

Max. file size: 1 GB.

Sign Off

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Support Return Package Acknowledgement

None

Left on Site

Return Package

Onsite Manager/GC Confirmation(Required)

First Last

Onsite Manager/GC Email(Required)

Onsite Manager/GC Phone

Onsite Manager/GC Signature

Onsite Manager/GC Signature(Required)

Responsible for hardware left on site. To hand over on store turn over, if store is not yet opened.

Onsite Manager/GC Signature(Required)

Responsible for return package and/or remaining hardware on site. To hand over on store turn over, if store is not yet opened. Will hand off to shipping company on next pickup/drop off visit, or drop off at shipping company drop box.

Your Email

For a copy of this form

Your Signature

Checkout Code

Visit Details

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