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Intel® Server Issue Report Form
Intel® Server Issue Report Form
Date Submitted:
Company Name:
Contact Name:
Email Address:
Intel® Server Product:
Priority (Critical, Hot, High, Low):
Brief Problem Description. Provide a brief description below. See the last page for space
to include a detailed problem description.
Board / Chassis Information
Baseboard Revision – PBA#: DIMM Configuration
Baseboard Serial Number:
DIMM1A MB:
CPU1 Speed/Stepping/Spec:
DIMM1A Vendor/part number:
CPU2 Speed/Stepping/Spec:
DIMM1B MB:
System BIOS Version:
DIMM1B Vendor/part number:
HSC Firmware Version:
DIMM2A MB:
Chassis Model
DIMM2A Vendor/part number:
Intel® SC5200 Base
DIMM2B MB:
Intel® SC5200 Base
Redundant Power
DIMM2B Vendor/part number:
Intel® SC5250-E
Intel® SR1350-E
Other (Vendor / Model):
Intel® Entry Server Board SE7221BA1-E User Guide 43