Service Report

Section A (To be filled by installer):
Please mark in the designated checkbox, General maintenance: *
Hardware Replaced *
When you arrived was there electric to the BEAM? *
Were you able to restore power? *
Image is squared and focused *
Keyboard or BEAM/OBIE Remote confirmed functioning *
Internet connection available *
Sound confirmed functioning *
Was the case resolved? *
Did you checkout with EyeClick Support? *
If you answered no for any of the above, please explain:

By clicking next you will submit the above information and move to Section B to be filled out by the client