Harlan Community Academy High School Online Tech Request Form

Harlan Community Academy High School
Technical Service Request (TSR) Form

Dr. Shegog, Tech
Office - Room 218A
Phone: 773.535.5400 x175 Fax: 773.535.5061

Please complete the form below, to request technical service for your classroom or office computer. Your request will be processed as soon as possible. Thank you for your request.

Today's Date *

Department

Room

Name

Brand/Model of Computer or Printer. If device is a computer, include the operating system (Win 2000, XP, etc.)

CPS Asset Tag *

Serial Number *

Your Email Address

Do you have the software CDs? * Yes No

Is the hardware a CPS laptop? * Yes No

Please describe the problem that you are having with the device.

(Don't forget to save your files to another source, before submitting computer for repair). *