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Service request
Customer
Name *
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Contact person *
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Telephone *
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E-mail *
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Building/project
Address *
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Postcode *
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City *
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Contact person *
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Telephone *
Enter a valid phone number.
E-mail
Enter a valid e-mail address.
Scope of the complaint
Product name *
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Code *
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Faulty quantity *
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Operating time until failure (in days)
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No. of the ES-SYSTEM purchase invoice
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Quantity of installed luminaires *
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Average operating time per week (in hours)
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Type of damage
mechanical
electrical
ingress protection (IP)
Location
indoors
outdoors (sheltered)
outdoors
Mounting
surface-mounted
ceiling-recessed
suspended
standing (on the floor)
ground-recessed
wall-recessed
pole-mounted
wall-mounted
other
Mounting height
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Access to luminaires
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Temperature of the luminaire’s operating environment
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Problem description *
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Attempts made in order to determine damage
transport damage report
checking the correctness of the applied voltage
checking the correctness of the installation and connection
checking the correctness of the light sources
checking the correctness of components (e.g. EVG)
other
Frequency of the problem’s occurrence
all the time
at random
other
Other related components
Light source (type, manufacturer)
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Lighting control equipment (type, manufacturer)
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Other
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Expectations concerning finding a solution to the problem
Description of the solution to the problem *
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I hereby declare that the information clause has been made available to me and that I have read and understood its contents.
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