Information Technology Services


PC Repair Form


LC-SB27
518/442-5526/3679

Repair Request
(Note: You may type responses in this form. However, after providing the responses, the form must be printed and attached to the equipment to be serviced.)
Date: mm/dd/yyyy
Name:
Dept:
Building Room #:
Account #:
Phone #:



Manufacturer:
Model:
Serial #:
Univ. Asset #:
Purchase Date:
P.O. #:

Problem:

What has been done so far?

 

*** Any type of computer repair may result in the loss of data. ***
*** Backing up data is the user's responsibility. ***

University at Albany