Onsite Service Request

This Onsite Service Request form is available for customers who have a Full Service Maintenance Agreement. Validation of the agreement will be done at the time we receive the request.

Your request will be processed within 1 hour.   If you need immediate assistance, please Contact the Support Centre.

* - Required fields

Contact Information
Full Contact Name*
Company/Organization Name
Phone Number (include area code)*
Please note that Xerox may contact you by phone
Email Address*
Confirm Email Address*
For more information, please see our Privacy Policy
Machine Location Address *
City *
State/Province *
Zip/Postal Code *
Country*
Please include your hours of operation:
Problem Information
Product Name / Model*
Please enter the full name and model number.
Example: Document Centre 535, DocuColor 130
Product Serial Number*
Problem Description*
The problem you are having has to do with:
Include what you were trying to do when the product exhibited the problem. Also include any other clarifying information such as fault codes, peripherals, operating system, application being used, device driver versions and overall configuration.
Identify the severity of your problem: