Technology Maintenance Request
Technology Maintenance Request Form
Email address *
Asset Tag Number *
Please enter the tag number or computer name (This should be in the format of HSD#### or R####)
Equipment Type *
Room Number * *
In what room are you located?
Problem Description *
Please describe the problem without using the word ADOBE, use Flash, Shockwave, Reader, etc.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Hazen School District. Report Abuse