Computer Repair Request Form
Name:
Date:
Email
:
Computer Name:
(ex; CAD_20)
Room Number:
Lab 110 North - Downstairs
Lab 110 South - Downstairs
Lab 202 main classroom - Upstairs
Lab 202 Lecture room - Upstairs
Other, Please specify in DESCRIPTION box
Specify Problem:
Hardware
Software
Don't Know
A good description of the problem: