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Request/Repair Form (2007~2008)
Please note,
you
must complete all areas
of this form.
If you need to 'fill' in a blank space
use the example in the parentheses.
We will set priority based on
information provided
and
YOUR submitted priority
.
You can have only ONE REPAIR REQUEST per form.
If the form is
INCOMPLETE
, please read the error message for assistance
.
Name
(remember you must complete all areas)
(you must place your name here)
Priority
(remember you must complete all areas)
(you must make a selection from the menu)
Pull down to select...
Very Urgent (Today)
Urgent (This Week)
Important (Soon)
When you get time
This Summer
Building
(remember you must complete all areas)
(you must make a selection from the menu)
Pull down to select...
Auburn Elementary
Central School
Dowds Elementary
Shelby Middle School
Shelby High School
Board of Education
Support Service Division
Type of Request
(remember you must complete all areas)
(you must make a selection from the menu)
Pull Down to Select...
Hardware problem
Software problem
Printing problem
Network problem
Other problem
Software request
Software question
Hardware request
Hardware question
Information request
Pricing request
Other request
Location/Room Number
(remember you must complete all areas)
(this is required, use the room number where
the equipment is located or use 9999)
Email Address
(remember you must complete all areas)
(use your school address or use
shelby_9999@shelbyk12.org)
Shelby Tag Number
(remember you must complete all areas)
(four number minimum, if you have
NO tag number use 9999)
Serial No.
(remember you must complete all areas)
(this field is required, use 9999 if you have no serial number)
Equip. Manufacturer
(remember you must complete all areas)
(you must make a selection from the menu)
Blank
Pull down to select...
Apple
Gateway
Tangent
Epson
Hewlett Packard
Other
Hard Drive Name
(remember you must complete all areas)
(use the example below or type in: SCS_999_9)
Type of Equipment
(remember you must complete all areas)
(you must make a selection from the menu)
Blank
Pull down to select...
Computer
Monitor
Keyboard
Laser Printer
Inkjet Printer
Other
Hard Drive Name only applies to MAC computers
Example: SMS_303_2
PLEASE CHECK AND MAKE SURE YOU COMPLETED ALL SECTIONS ABOVE!!
The section below IS REQUIRED. Describe the problem to the best of your ability.
If possible, type in any error message you received that could assist us in solving the problem.
Updated: November 6, 2007
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