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Printer Toner Request Form
Procedures for Requesting Printer Toner:

- Before requesting replacement toner, first remove the toner cartridge, shake it to disperse
the toner evenly and return the toner cartridge to the printer. Try printing again. If the print
quality is not acceptable, please submit this request form for a replacement toner cartridge.
- Fill out this form. [Printer Toner Request Form]
- Report any toner related issues with this form.

Person Making Request
Your answer
If Color Toner is Needed, Indicate the Color(s)
Your answer
Location of Printer
Example: Room number or description of location
Your answer
Printer equipment number located on the silver label, normally found on the front of the printer. If no label can be found, indicate that below.
Examples: (SC000, A0000, H0000 or R0000)
Your answer
Make and Model of Printer
Examples: HP LaserJet P2035
Your answer
Name of Building for Printer Location
Priority
Other:
Your answer
Notes:
- Requests submitted on the "Printer Toner Request Form" will be handled in a
priority order with attention given to the date they were received.
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