P596X Technology Request Form
Please fill out and submit this form to have any technology issues repaired by our technology staff. Please fill out all sections completely. All requests will be completed as quickly as possible. Thank you for your patience.
* Required
Email address
*
Your email
First and Last Name
*
Your answer
Unit
*
178
153
498
Description of Problem
*
Choose
E-Mail Password Reset
Cannot Print or Need Printer Installed
Software Installation Needed
Computer Does Not Turn On
Cannot Connect to Internet
Computer is Slow or Shuts Off Unexpectedly
Keyboard or Mouse Does Not Work
Monitor Does Not Work
Smartboard is Not Working
iPad Not Turning On or Not Charging
iPad Screen is Cracked
iPad Disabled
Laptop Problem
Google Docs Password
Other (Describe issue below)
Comments About Your Issue
*
Your answer
Phone Extension
*
Your answer
Room Number
*
Your answer
Best Time to Make Repair without Interruption of Instruction
Time
:
AM
PM
Is this Request Urgent?
Yes
No
A copy of your responses will be emailed to the address you provided.
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