Academic Technologies
Computer Repair Request
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Academic Technologies |
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Fill out completely. Print TWO copies, one for Help Desk, one for user.
Full Name: Status:
Campus Phone: Barnard email:
Computer Brand: If other, write:
Model: Serial Number:
Operating System: If other, write in:
Hard disk size: RAM: Password:
Hardware address (e.g. 00.0B.F7.04.5B.39):
Description of problem
USER STATEMENTS:
This computer is: owned by Barnard // my personal computer
This computer is used by: me // another staff member in my department // a student worker in my department
I have given the Help Desk these separate parts, and they have been labeled in white.
Computer
CPU // Laptop
//
Power cord //
Floppy drive //
CD drive //
Carrying case //
(List other parts in description above)
I have delivered parts listed to Lehman Computer Center
on Date:
Time:
User's signature: ________________________________
AT Staff member who accepted computer: ________________________________ Computer location: _______________
Computer and all parts picked up by user: Date: Time:
User's signature: ________________________________
last update 12/19/06