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

Please describe the issue you are having

DETAILED RESPONSES PREFFERED

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.

Can you 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 that providing incorrect or deceptive details gives CRC Tech Solutions the right to cancel my request or appointment immediately

Computer Service Request Form