Technology Request Form for Coffee County Schools
Please complete items below and then submit the request. This form will send a time stamped request to the Coffee County Technology Team for a response or completion of task. The Technology Department includes: Tami Crosby (Technology Coordinator), Golda Donaldson (Technology Specialist), Heatherly Smith (Technology Integration Facilitator), John Overstreet (IT Specialist).
School *
Select the School Name where help is needed or where the equipment is located.
Required
Last Name *
Your answer
First Name *
Your answer
Location or Room Number where help is needed.
Your answer
Requested need *
Please state/describe succinctly the issue being reported. If possible copy and paste any pictures, screenshots, or other information that will be helpful. You may need to use Control C (cut) and Control V (paste) keyboard shortcuts instead of right click of mouse.
Your answer
Scroll past "For Office Use Only" and submit the Technology Request Form
For Office Use Only-Please do not answer the next 4 items.
Task started by
Your answer
Task Progress Notes
Your answer
Completion Date
MM
/
DD
/
YYYY
Person was notified ticket is complete how? Email, In Person, Note, etc...
Email Username
Enter your Coffee County email username "smithhd" or "edmondsonj" the @coffeecounty.k12.al.us IS NOT REQUIRED
Your answer
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