Appendix D: Intel
®
Server Issue Report
Form
Note: An on-line / automatic submission version of this form is available at http://
support.intel.com/support/motherboards/server/S5000SVA/. For the fastest service,
please submit your form via the Internet.
Date Submitted: _______________________________________________________
Company Name: ______________________________________________________
Contact Name: ________________________________________________________
Email Address: _______________________________________________________
Intel Server Product: ___________________________________________________
Priority (Critical, Hot, High, Low): _______________________________________
Brief Problem Description. Provide a brief description below. See the last page for space
to include a detailed problem description.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Board / Chassis Information
Baseboard Revision - PBA#: _____________________________________________
Baseboard Serial Number: _______________________________________________
Chassis Model:________________________________________________________
CPU1 Speed/Stepping/Spec: _____________________________________________
CPU2 Speed/Stepping/Spec: _____________________________________________
System BIOS Version: __________________________________________________
HSC Firmware Version:_________________________________________________
