Help Desk Request Form
Please provide the following contact information:
Full Name
(Required)
Title
(Required)
Department
(Required)
Office Location
(Required)
Work Phone Number
(Required)
Email Address
(Required)
Please provide the following information about your equipment:
Operating System
(Required)
- - - Choose One - - -
Windows 95
Windows 98
Windows 2000
Windows NT
Windows XP
MAC OS 7
MAC OS 8
MAC OS 9
MAC OS X
I'm having trouble with my...
(Required)
- - - - - Choose One - - - - -
Desktop computer
Laptop computer
Monitor
Printer
Scanner
Network connection
PeopleSoft
Email
Software
Other
Model Number
Manufacturer
(eg. Hewlett Packard, Epson, etc.)
5-Digit SSC ID Number
(Located on a sticker on the machine)
Serial Number
Please describe the problem in your own words. Include any error messages you received if possible.
(Required)