LDS FamilySearch Device Install Worksheet
Center Name___________________________________
Unit Number___________________________________
Email this form to Sandra Friedman at sfriedman@lexmark.com
Technician Name________________________________ Center Address:
Installation Date________________________________ ________________________________
Center Director Name_____________________________ ________________________________
Phone Number_________________________________ ________________________________
Installed Device Summary:
Printer Model________________________________
Serial Number________________________________
IP Address________________________________
FAX Number________________________________
Building Floor________________________________
Outstanding Issues:
The technician should document any issues he or she has encountered during the install and document whether the issue is closed or requires Lexmark followup.
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Center Director Signature____________________________________
Date___________________________________________________
