Information Technology Services

PC Service Center Repair Request Form

(Please note: This form is fillable online, but it must be printed out and delivered with the equipment.)

Date (mm/dd/yyyy):
Technology Coordinator:
 
End User Information:
Name:
Dept:
Phone #:
NetID:
 
Equipment Information:
Manufacturer:
Model:
Serial #:
Is your data backed up?(Y or N):

Problem:


*** ANY REPAIR OR TROUBLESHOOTING COULD RESULT IN DATA LOSS ***
*** THE PC SERVICE CENTER IS NOT RESPONSIBLE FOR YOUR DATA ***


ITS PC Service Center
LC-SB27 / 2-5526
University at Albany