Service Request

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What type of service do you need?

To the best of your knowledge, is this equipment covered by a Carestream service agreement? Yes No Don't Know

Does your organization require a purchase order (PO) before service may begin? Yes No

Does your organization require a service quote before a purchase order (PO) can be issued? Yes No

A quote for service will be emailed to you shortly after this request has been submitted.

Purchase Order #

The minimum purchase order amount must be $5,000.

Do you wish to set a maximum authorized amount for this service request? Yes No

If service costs reach the maximum authorized amount, a new purchase order will be needed before work can continue, which may delay issue resolution

Maximum Authorized Amount

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