ES/TSMS Printer Ink Cartridge Replacement Form
Does your printer need a new ink cartridge? Just fill out this handy form and submit it to me.
Please be advised that the school may not be in a position to replace all printer cartridges so exercise discretion when printing.
[form updated 3/7/16]
Before requesting a replacement, did you already remove your cartridge, shake it up, put it back in your printer and keep printing for a while?
Shaking up your cartridge usually gives you many more weeks, sometimes months of ok printouts. :-)
Yes, I tried my best to save money and resources by shaking and continuing to use my cartridge.
No, I am not into conservation.
I am at:
Office, Classroom, or Laptop Cart NUMBER:
Ex: Room 138, H-Cart
My e-mail address:
My printer is a:
(The Model Number on the outside of the printer, not the cartridge part number on the cartridge)
HP DeskJet 5550
HP DeskJet 940c
HP DeskJet F4180
HP LaserJet 1022dn
HP LaserJet 1200
HP LaserJet 4100n
HP LaserJet 4600dn
Lexmark T640N Wireless printer
Which color ink color cartridge(s) need replacement?
Check all that apply:
All-colors-in-one color ink cartridge
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This form was created inside of Tompkins Square Middle School.