Computer Repair Form | CRC Tech Solutions

First name

Last name

Email

Phone

Preferred Contact Method

Email

Text

Is your device an Apple device? If Yes, provide A# and EMC# in scope of work section below

Yes

No

Specific Scope of Work Requested (How can we help?)

What happens? Any error codes? Be as specific as possible.

Are You Ready to Schedule IT or Computer Repair Services?

Yes

No

Complete Site Address

Vague or incomplete locations are automatically rejected

System Type

Desktop Tower

Desktop All-in-One

Laptop

Our current policy does not allow us to service custom builds, gaming PCs, or printers of any type.

Manufacturer of your device

System Model

Look at the stickers on the bottom or side case of your device, do not just type "Laptop" or "Notebook"

System Serial Number

I am in search of:

Desktop Repair

Laptop Repair (pick-up/drop-off only)

Data Recovery

Remote Desktop Support (upfront fees due accompanied with signed agreement)

In-Home Tech Support (excludes repairs, 1 hour max)

Business IT Services

IT Consultation

Is your data duplicated? (backed up)

Yes

No

CRC Tech Solutions will not be responsible for ANY data loss.

Is the drive encrypted with something like BitLocker or FileVault?

Yes

No

If yes locate, your keys before service.

Are you able to provide the system password/PIN for software diagnostics and benchmarking?

Yes

No

I understand that specialized parts must be paid for in advance before they can be ordered or shipped.

Yes

Type of Service Appointment Needed?

Pick-Up / Drop-Off (Mandatory for All Repairs)

In-Home System Troubleshooting (Max 2 Hours, no repairs)

I understand CRC Tech Solutions provides mobile computer repair with pickup and drop-off service for all physical repairs. A private address is required to facilitate these services. Software orders can be placed for direct shipping.

I agree to receive SMS text messages from CRC Tech Solutions

Computer Service Request Form Please fill out all fields accurately. Incomplete or blank details (like missing serial numbers) cannot be processed by our dispatch system, and we will be unable to call you back or schedule your service.

Computer Service Request Form

Please fill out all fields accurately. Incomplete or blank details (like missing serial numbers) cannot be processed by our dispatch system, and we will be unable to call you back or schedule your service.