Computer Repair Form | CRC Tech Solutions

First name

Last name

Email

Phone

Preferred Contact Method

Email

Text

Scope of Work Desired. Please be detailed. (our current policy does not allow us to service custom builds)

Are You Ready to Schedule IT or Computer Repair Services?

Yes

No

If yes, please provide a complete service address

Is your device an Apple device?

Yes

No

If yes, please provide the device's A# and EMC# Your Mac’s Model Number (A#) and EMC# are physically printed in small text on the bottom case

System Type (our current policy does not allow us to service custom builds)

Desktop

Laptop

Brand / Model / Serial# of Device. Include ALL. Failure to provide will delay responses.

Device Operating System

Is Your Data Backed Up? CRC Tech Solutions will not be responsible for data loss.

Yes

No

Unsure

Does Your Device Have Visible Damage?

Yes

No

Do you need replacement parts?

Yes

No

Do you need replacement software?

Yes

No

Type of Service Appointment Needed?

Home Visit

I understand CRC Tech Solutions provides mobile computer repair. A private service address will be required to receive services.

I understand providing incomplete and inaccurate responses, CRC Tech Solutions may not be able to assist in a timely manner.