Philcopy Claim Report System (NCR)

Philcopy Claim Report Submission and Approval System

Branch
Branch Email Address
Reporting Service Engineer Reporting Service Engineer First Last
Client/Machine Details
Reporting Date Reporting Date / MM / DD YYYY
Account type
Client Name
Minimum of 5 characters required. Currently Entered: 0 characters.
Machine Model
Minimum of 5 characters required. Currently Entered: 0 characters.
Machine Serial Number
Minimum of 10 characters required. Currently Entered: 0 characters.
Current Meter Reading
Must be a number greater than or equal to 10.
Machine Installation Date Machine Installation Date / MM / DD YYYY
Machine Malfunction Date Machine Malfunction Date / MM / DD YYYY
Nature of Trouble
Minimum of 5 characters required. Currently Entered: 0 characters.
ATTACH MACHINE REPORTS:
BEFORE (BR) AND AFTER REPLACEMENT (AR)
Paste the link in the shared Google Drive Link field below:
1. Export to USB or scan printed reports
2. Image Quality Issue (Sample images or printouts)
(Don't forget to attach the AR reports later on in the same link location; the filename should be serial_XXXXX_BEFORE.pdf, serial_XXXXX_AFTER.pdf)
Upload your documents here:

for JP Annex Branch, click here to open in a new tab.
Upload your documents here:

for Ortigas Branch, click here to open in a new tab.
Upload your documents here:

for West Triangle Branch, click here to open in a new tab.
Upload your documents here:

for Las Pinas Branch, click here to open in a new tab.
Trouble Conditions/Work done: State in details the steps you have taken during troubleshooting
Minimum of 10 words required. Currently Entered: 0 words.
Supplementary Trouble Information
Defective Parts to Replace/Maximum of Ten Items can be declared:

Please indicate the defective part's item code and description needed for replacement.
For first-time occurrence of defective item, previous item code should be entered/used
Qty.
Item Code (Defective)
Description
Qty.
Item Code (Defective)
Description
Qty.
Item Code (Defective)
Description
Qty.
Item Code (Defective)
Description
Qty.
Item Code (Defective)
Description
Qty.
Item Code (Defective)
Description
Qty.
Item Code (Defective)
Description
Qty.
Item Code (Defective)
Description
Qty.
Item Code (Defective)
Description
Qty.
Item Code (Defective)
Description
Type of Machine

Type of Machine Field Machine Brand New Demo Unit Refurbished Unit
What do you think causes the trouble?

What do you think causes the trouble? Mis-handled/Mis-operated Natural wear and tear Accident Factory defect Other Other
Please state what makes you think so?
Minimum of 10 characters required. Currently Entered: 0 characters.
Present machine condition

Present machine condition Operational Non-Operational
Your recommendation/s:
Minimum of 10 characters required. Currently Entered: 0 characters.
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Philcopy Claim Report System (NCR)

Philcopy Claim Report System (NCR)

Client/Machine Details

Upload your documents here:

Upload your documents here:

Upload your documents here:

Upload your documents here:

Defective Parts to Replace/Maximum of Ten Items can be declared: