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IT Support Request Google Form Template
Please provide as much detail as possible regarding your technical issue so our team can assist you promptly.
* Indicates required question
Email
*
Record my email address with my response
Full Name
*
Please enter your first and last name.
Your answer
Email Address
*
The email address where we should send updates regarding your ticket.
Your answer
Problem Category
*
Select the category that best describes your issue.
Choose
Hardware
Software/Applications
Network/Internet
Account/Access
Other
Date Issue Began
*
When did you first notice this problem?
MM
/
DD
/
YYYY
Is this issue blocking your work?
*
Please indicate the urgency of this request.
Yes, I am completely blocked
No, I can work around it
General inquiry
Operating System
*
What OS are you currently using? (e.g., Windows 11, macOS, Linux)
Your answer
Type of Connection
Are you on the office Wi-Fi, Ethernet, or a remote VPN?
Your answer
Issue Description
*
Please describe the problem in detail, including any error messages you received.
Your answer
Upload Screenshot or Error Log
Please paste a link to your file (Google Drive, Dropbox, etc.) or describe the document you wish to attach.
Your answer
Send me a copy of my responses.
Submit
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