Farley Help Desk Form
One Form needs to be completed for each individual tech issue. All information needs to be filled out correctly or the ticket will be not be placed. Example: if you have two computers that need to be taken care of, you need to fill out two forms.

Thank you,

*REQUIRED*
Name *
First & Last Name
E-MAIL ( Example: mspartaadams@northrockland.org) *
School e-mail address
PHONE OR EXTENTION (Example: 3231) *
Best number to reach you at:
ROOM/ MOBILE CARTS (Example:206 Computer Lab) *
Room Number / Cart Number where Tech concern resides.(List the carts number and location)
Item of concern (Example network Log on) *
Select from check boxes tech that needs to be serviced.
Required
MAKE/BRAND (Example: Infoucs) *
Select from check box
Required
MODEL NUMBER OR OPTIPLEX NUMBER (Example:745 or HP1300) *
Model Number OR Optiplex Number of the device in question.This must be completed correctly or the ticket will not be placed. If not applicable input N/A.
SERIAL NUMBER/ SERVICE TAG NUMBER (jb123k51 or CUNS123450
Unique Number for device in question. This must be completed correctly or the ticket will not be placed If not applicable input N/A
DESCRIPTION OF TECH CONCERN (Example 1 ticket for 106 station 2 monitor there is no image and 1 ticket for station 3 can't log on) *
Provide as much detail as possible. This must be completed correctly or the ticket will not be placed.
Assign too
Office use only
Ticket #
Office use only
Resolution
Office use only
Submit
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