Computer Repair Form | CRC Tech Solutions

First name

Last name

Email

Phone

I am in need of:

Desktop Repair

Laptop Repair

Data Recovery

Remote Desktop Support

In-Home Tech Support

IT services for my business

IT Consultation

Repair Quote / Estimate

Network Support

Printer Support Only ( no repairs)

Please explain your specific tech support needs or computer repair request below.

Brand / Model / Serial# of Device

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

Yes

No

Unsure

Request Priority Level

Low

Medium

High

Critical

Type of Service Appointment Needed?

Home Visit

Work Visit

Do Your Device Have Visible Damage?

Yes

No

N/A

If Visibly Damaged, Where is the Damage? How Did it Occur?

Would Replacement Hardware be Needed?

YES

NO

UNSURE

N/A

Would Replacement Software be Needed?

YES

NO

UNSURE

N/A

Device Repair Request