Tech Request Form
PLEASE ONLY SUBMIT ONE 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 request@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: *
Your answer
LAST NAME of person who is in need IT assistance: *
Your answer
What is the phone extension or number that you can be reached? *
Your answer
What department is having the issue/request? *
Required
What does the request/issue have to deal with? *
Required
Please detail the issue/request: *
Your answer
Below is for Administration use only: Please skip the following questions and click "Next"
Is the task closed?
Notes:
Your answer
PLEASE ONLY SUBMIT ONE 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 request@charlevoixcounty.org. If a duplicate request is submitted, the second request will be canceled immediately.
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