Apex Instruments

Service request intake form

Form SR-1, two pagesComplete both pages. One unit per form.
Partner / organization
Location name or ID
Date and time reported

1  The unit From the plate on the back of the instrument

Serial number (MB-, MP-, or MF-)
ModelMeridian BenchMeridian ProField Kit
Apex order no. or purchase date
Asset tag (if any)
PlanNoneAtlas CareCare Plus

2  Who to contact Whoever the technician should call first

Requester name
Role
Phone
Email
On-site contact (if different) and phone

3  The issue Tick every symptom that applies

Will not power onPowers on, then shuts offError code on display Readings drift or will not settleReadings differ from referenceFails self-test Unusual noise or vibrationOverheating or smellDisplay blank or unreadable Probe damaged or not detectedNetwork or sync failurePhysical damage (drop, spill) Battery will not hold charge (Field Kit)Calibration due or overdueOther (describe below)
Error code shown, if any
When it started (date, time)

Describe what happened, what you were doing, and anything you tried

Is the unitStill in useTaken out of servicePowered off and isolated

4  Urgency Pick one

LowUnit works. Fault is cosmetic, intermittent, or a planned calibration. Response within 1 business day.
Unit downUnit cannot be used for its purpose. Response within 1 business hour, loaner offered on Care Plus.
SafetySmoke, heat, exposed wiring, or any risk to a person. Isolate the unit and call (555) 010-0100, option 2, as well.
Service request intake form SR-1, continue on page 2Page 1 of 2
Apex Instruments

Service request intake form, continued

Form SR-1, page 2Write the serial number again here

5  Loaner unit Atlas Care Plus accounts only

Loaner requestedYes, ship a loaner next business dayNo, we can wait for the repair

A loaner is a matching Meridian model on a 30-day term, extended automatically while the repair is open. Accounts without Care Plus can ask the service desk about a paid loaner at $89 per week.

Ship loaner to (location or address)
Receiving contact and phone
Loaner configurationSame as the unit above120 V230 VRack mountExtended probe

6  Return shipping How the unit gets to our lab

Send a prepaid labelWe email a label within 1 business hour. Default for all accounts.
We will ship on our own carrierShip to 400 Meridian Way, Suite 200, Tampa, FL 33602. Write the SR number on the box.
Pickup address (if not the location above)
Pickup window and dock notes

Packing checklist, tick before sealing

  • Original case or a double-walled box with 2 inches of padding on every side
  • Probes detached and wrapped separately
  • Power cord and any adapters included
  • Field Kit battery removed and packed in its sleeve
  • Copy of this form inside the box
  • SR number written on the outside of the box

7  Site access For on-site visits under Atlas Care Plus

Badge or escort requiredHealth screening requiredParking or dock instructions belowNo special requirements

8  Authorization

By signing, the requester confirms the unit may be diagnosed and repaired under the partner agreement, and that any repair outside warranty or plan coverage will be quoted before work begins.

Name (print)
Signature
Date
Fax(555) 010-0190Both pages
Email a scanservice@apexinstruments.examplePDF or photo, both pages
Or submit onlineapexinstruments.example/portalService, New request. Fastest route.
Office use only
Received
SR number
Urgency set
Loaner sent
Tech assigned
Service desk (555) 010-0100, option 2, Monday to Friday, 8am to 6pm EasternPage 2 of 2