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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