Problem Summary Form

1. Record the current date and time: _________________________
2. Record the system date and time (if available): _______________________
3. Record the symptom number: _____
4. Record the service request number (SRN): __ __ __ - __ __ __
5. Record the three-digit display codes (if available): ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______ - ______
6. Record the location codes:
   1. First FRU: __ __ - __ __ - __ __ - __ __
   2. Second FRU: __ __ - __ __ - __ __ - __ __
   3. Third FRU: __ __ - __ __ - __ __ - __ __
   4. Fourth FRU: __ __ - __ __ - __ __ - __ __
7. Describe the problem:

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8. Describe any failure data captured for the problem, such as system dumps, core dumps, error IDs, error logs, or messages. Save the failure data for examination by your service organization.

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