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Technology Maintenance Request
Date
PC: Dell Tangent
Acer Other
Campus
Install Software:
Room#
Printer:
Requestor
E-mail
Device: Mouse
Keyboard
Other
Approved Disapproved by Principal
Approved Disapproved by Superintendent
Problem Description (provide a brief description of the problem or service requested)
Action Taken by Tech Specialist: Request Completed Unable to Process Request