CASE MANAGER Request

Fill out this form for Case Manager's Request


A red asterisk (*) indicates required questions.

Notes*


Customer's First Name*


Customer's Last Name:*


Customer's Email Address:*


Order Number*


Customer's Zip Code*


Phone Number*


Products Having Problems With  *


Model Number or Series*


Product SKU*


Tech Support Case Number


Name of Agent from Tech Support


Serial Number of the Product


(ESP Serial Number is required if cx has puchased an ESP)
ESP Serial Number*


Details of Problem:*


Agent TOMI ID*


Agent Name Requesting for Case Manager*


Team Lead of Requesting Agent*





HP HHO Program
Boise, ID