Microsoft Personal Fax Technology Preview for Windows NT(TM) Workstation 4.0
Problem Report Template	        
(Please see instructions below to submit this report) 

Name                           : 
Company                        : 
Area Code & Phone              : 

Email Address                  :
Country (if outside the U.S.)  :
Language Version               :

***** PROBLEM INFORMATION ******

Product Release      :  
(Type "winver" at the command line while Windows NT is running.)

Install Type         : < >Upgrade from: 
		       < >Clean Install


PROBLEM TITLE: 
[Please replace this line with a one-line summary of the issue]

PROBLEM DESCRIPTION: Please provide a complete description of 
the problem, circumstances, and any actions you may have taken.
----------------------------------------------------------------------




PROBLEM OCCURS: 
< >Always < >Sometimes < >Didn't happen again < >Didn't try it again

STEP BY STEP INSTRUCTIONS we can follow to reproduce the problem here:
Please be explicit and complete, if we cannot reproduce the problem
here, the issue may not be resolved in the next release.
  1. 
  2. 
  3.
  4.



**** BASIC CONFIGURATION ****

Computer brand & model			    :
  Bus Architecture (check all that apply)			                           
  < >ISA < >EISA < >MCA < >VESA < >PCI 
  < >RISC < > PCMCIA (PC CARD) < >Other:

System BIOS (manufacturer & version/date)   : 
CPU(s) (type, speed and manufacturer)       : 
Memory (RAM)                                : 
Mouse model & type (PS-2/serial/bus) (COM/IRQ)  : 
Sound Card (model/address/IRQ)              : 
Communications Modem (model/address/IRQ)    : 
Other adapters (scanner/PC CARD)            : 


****** FAX/MODEM CONFIGURATION *****
Fax/Modem manufacturer <                  >
Fax/Modem model        <                  >

Fax Board
< > None  < > Brooktrout < > GammaLink
< > Natural Microsystems < > PureData
<            > Other

****** VIDEO CONFIGURATION ******
Video adapter                   : 
  < > ISA  < > EISA  < > PCI  < > VESA  < > MCA
Video memory
  < > 512Kb  < > 1Mb  < > 2Mb  < > 4Mb  < > 8Mb
Video driver                    :
Video resolution                : < >640x480    < >800x600 
				  < >1024x768   < >1280x1024
				  < > Other: 
Color depth                     : < >16 colors  < >256 colors 
				  < >64K        < >16.7 million
				  < >True color < >Other: 


****** HARD DISK CONFIGURATION ******
For each hard drive, list the following:

Drive:
   < >IDE  [Enter model name] 
     < > Master  < > Slave
     < > Primary IDE channel  < > Secondary
   < >SCSI [Enter model name & SCSI id #]
     Disk controller:
  Partitions:
    Letter:     File System: < > Fat < > NTFS  Size: 
    Letter:     File System: < > Fat < > NTFS  Size:
  
****** CD-ROM CONFIGURATION ******
CD-ROM drive brand & model   : 
Is this a CD changer? < >  # of discs:____

  < > SCSI  [ID#] < > OTHER 
      Terminated < > Yes  < > No

  < > IDE/ATAPI
     < > Master  < > Slave
     < > Primary IDE channel  < > Secondary

Controlling adapter (Address and IRQ): 


****** NETWORK CONFIGURATION ******
Network card type, IRQ & address: 
Network protocol(s)             : 

Network cabling                 : 
Novell Server version           :       number of users:

****** PRINTER CONFIGURATION ******
Printer brand & model           : 
Printer Port: < >LPT1 < >LPT2 < >COM1 < >COM2 < >File < >Network
Driver                          :
Memory                          :
Printer cartridges              : 


How To Submit This Report
=========================
Please e-mail this form to ntbug@microsoft.com and use the word FAX on the subject line.
Note: this is not a support mechanism, and you are not guaranteed a response.
Please send mail to ntbug@microsoft.com if you require an ftp location, 
or have any other questions or comments regarding the problem report process.