Academic Technologies
Laptop Inspection Request

Fill out completely. Print TWO copies, one for Help Desk, one for user.

                

Full Name: Status:      

Campus Phone: Barnard email:

Laptop 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  (continue on reverse)

 

USER STATEMENTS:     This laptop is:   owned by Barnard my personal laptop  

This laptop is used by:  me a staff member in my department a student worker in my dept. 

 

I have given the Help Desk these separate parts, and they have been labeled in white.

Laptop Power cord CD drive Carrying case
(List other parts in description above)

Delivered parts listed to Lehman Computer Center on Date:  

User's signature: ________________________________     

AT Staff member who accepted laptop: _________________________     Laptop location: _______________

Laptop and all parts picked up by user:   Date: Time:

 

User's signature: ________________________________     

last update 08/30/07