Complete this form. Click on the Submit button at the bottom of the page when you are ready to send.
Fields with an asterisk * are required

*Date:

Type of Equipment:
Mac PC Printer Copier
Scanner Smartboard LCD Projector Other

RSC Tag:

*Requestor: * Campus:

*Bldg/Room #

*Phone. Email

*Best time to contact:

*Description of the problem

Please write a detailed description of the problem. Example: Instead of saying the "Printer doesn't work". Describe the problem in detail.On Computer #7, when in Microsoft Word, I get an error message that the printer is not connected.

 


For Office Use Only Date Received: ____/____/____ Date Completed: ____/____/____ Completed By: _____________________ Technician's Recommendation: _________________________________________________________________ Outside Repair: __________________ On Hold: ____________ On Schedule: ___________________________