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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
Email Username
Enter your Coffee County email username "smithhd" or "edmondsonj" the @coffeecounty.k12.al.us IS NOT REQUIRED
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...
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