Academic
Technologies - Barnard College
Computer Repair Request Form
Fill out completely. Print TWO
copies, one for the Help Desk, one for you.
Full Name:
Status:
Campus Phone:
Barnard email:
Computer Brand:
If other, write:
Laptop/desktop:
Model: Tag # // 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 THE PROBLEM:
USER STATEMENT: I own this computer. I use this computer for work related to my
employment by Barnard. I have backed up all documents, images and
data. I understand that the Help Desk
will attempt to repair this computer. The Help Desk staff may not be able to solve
this problem.
I have given the Help Desk these separate parts, and they have been
labeled.
Laptop
Power cord
Floppy drive
CD drive
Carrying case
(List other parts in description above)
I have delivered parts listed to Lehman Computer Center
Date:
Time: