Online Service Request

Online Service Request Logging Form

This form is intended for use by customers to request a new support call (Service Request). For urgent requests, status updates, preventive maintenance or cancelling a Service Request, please call:

UK - 0345 712 5292
Ireland - 01605 8324

Contact details for support on Vacuum Products (none-MS related), Raman Spectroscopy, ACEA, Pathology, Flow Cytometry and Airport Security/Handheld Chemical Detection can be found by following the link below:

If you do not have a support agreement with Agilent you can get an On Demand Repair Quote.

You can also find self help resources via the Agilent Community, Agilent Knowledge Portal or Agilent Education/University.

Please note - the information collected will only be used to facilitate the processing of your service call.

Technical & Fault/Service Details

* This field is required

Model Number*

For Software requests type the name (e.g. OpenLab CDS, MassHunter). For genomics reagents, type the kit name and part number (e.g. Brilliant Multiplex QPCR Master Mix - 600553).

Serial Number*

If your request relates to software write the revision if known (e.g. C.01.01). If your request relates genomics reagents type the lot number.

Technique*

e.g ICPMS, LC, QPCR

Please select the Support Entitlement*

Fault Description and/or Service Requested*

Please provide as much detail as possible, this will help minimize potential delays.

Steps already taken-troubleshooting already performed*

The more detail the more likely we can identify the correct parts/action required and minimise downtime.

Is the system currently useable?

Customer Information - This should be the user of the Equipment

Alternate contacts make it easier for us to get in touch.

Primary Contact First Name*

Primary Contact Last Name*

Work Telephone Number*

Secondary Phone Number

e.g mobile/lab

Email Address*

Alternate Contact First Name

Alternate Contact Last Name

Alternate Work Telephone Number

Alternate Telephone Number

e.g mobile/lab

Alternate Email Address

Customer Information - For scheduling purposes (leave blank if the same as the end user)

Primary Contact First Name

Primary Contact Last Name

Work Phone Number

Alternate Phone Number

e.g mobile/lab

Email Address

Instrument Location

Company Name*

Address 1*

Address 2

Building / Lab #

City*

County*

Postal Code / Eircode*

Country*