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Departmental service request
Departmental technology service request
Fields marked with an
*
are required.
Name*
Phone*
Department*
Email*
Would you like a confirmation email?
Dept. billing code (if known)
IDR (if required by your dept.)
Building*
Room number*
Contact or pickup location (if different from above)
Equipment type
Laptop Computer
Desktop Computer
Monitor
Printer
Other
Model number*
Serial number
Problem description*
Warranty status
Best time to contact you or pickup equipment
Additional information (included disks and peripherals, request estimate, special instructions, etc.)