Tech Request Form
PLEASE ONLY SUBMIT ONE (1) ISSUE/REQUEST FOR EVERY SUBMISSION. PLEASE USE YOUR OWN EMAIL OR THE PERSON WHO NEEDS ASSISTANCE'S EMAIL BELOW. PLEASE DO NOT SUBMIT DUPLICATE REQUESTS. IF YOU HAVE ANY FOLLOW-UP QUESTIONS OR CONCERNS ABOUT A REQUEST, PLEASE EMAIL it@charlevoixcounty.org. If a duplicate request is submitted, the second request will be canceled immediately.
Email address *
Date of request/assistance is being requested: *
MM
/
DD
/
YYYY
FIRST NAME of the person who is in need of IT assistance: *
LAST NAME of person who is in need IT assistance: *
What is the phone extension or number that you can be reached? *
What department is having the issue/request? *
Required
What does the request/issue have to deal with? *
Required
Please detail the issue/request: *
PLEASE DO NOT SUBMIT MORE THAN ONE (1) REQUEST. For organizational purposes, we require you to submit one (1) form for each request. Any requests beyond the first request (in the same form) may result in the request/issue being closed without being addressed. There will be an option (once this form is submitted) to start a new request.
Below is for Administration use only: Please skip the following questions and click "Next"
Is the task closed?
Clear selection
Notes:
PLEASE ONLY SUBMIT ONE (1) ISSUE/REQUEST FOR EVERY SUBMISSION. PLEASE DO NOT SUBMIT DUPLICATE REQUESTS. IF YOU HAVE ANY FOLLOW-UP QUESTIONS OR CONCERNS ABOUT A REQUEST, PLEASE EMAIL it@charlevoixcounty.org. If a duplicate request is submitted, the second request will be canceled immediately.
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