Request form for IT Services
Has this been a recurrent issue?:
Phone: 304-260-4380 Headquarters: Ext. 2236 Tech Center: Ext: 2238
BELOW AREA TO BE FILLED OUT BY IT SERVICES:
Date of Solution:
Brief description of work performed, solution, comments and recommendations:
Is this an emergency that requires immediate attention?:
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User's Name:
Department/Office#:
Date of Request:
Email Address:
@blueridgectc.edu {Please use only your BlueRidgeCTC email}
Phone Number:
YES
NO
If no, what times are you available if we need you present to troubleshoot?:
YES
1/16/2013
Computer Issue
Phone Issue
Blackboard Issue
Banner/Bridge Issue
OTHER issue
Desciption of Issue:
YES
When did the issue last function properly?:
Technician performing solution: