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
. If a duplicate request is submitted, the second request will be canceled immediately.
Date of request/assistance is being requested:
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?
Beaver Island Senior Center
Boyne City Senior Center
Charlevoix Senior Center
Commission on Aging
East Jordan Senior Center
Friend of the Court
Parks & Planning
Register of Deeds
What does the request/issue have to deal with?
Account Locked Out
BS & A
Deactivate/ Delete User Account
New Product Setup
Separation of Employment
Software Updates/Windows Updates
Tyler/ Eagle Recorder
None of the above
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?
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 firstname.lastname@example.org. If a duplicate request is submitted, the second request will be canceled immediately.
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This form was created inside of Charlevoix County.