This request will go directly to the Technology Facilitator at your school, not to the Technology Department.  Your School Technology Facilitator will contact you for any additional information required to correct the problem.  If he or she can not solve the problem, they will submit a work order to the Technology Department in your behalf.

Fill out the required information.  Click the Submit Request button.
A confirmation of your request will appear on the screen. 
You may print this screen for your records.


Items denoted with a red asterisk * are required.
 
 
 
 * Submitted by:
 

First name / Last name

 
 
 
 * Location:
 
 
 
 
 * Room Number/Name
 
 
 
 
 
 
 
 * Type of Hardware
 
 
 

If other, please give details.

 
 
 
 * Equipment Model #
 

Examples: Epson, Dell 1700, HP1200, Dell GX70, etc...

 
 
 
 
 
 
 * WhoAmI #:
 

Put NA if not applicable.

 
 
 
 * Type of Problem
 












 
 
 
 
 
 
 * Description of Problem
 
 
 
 
Error Message
 

Please provide the error message seen on the screen if applicable.

 
 
 
 
 
 
Please enter the text
to the right