HCHS ONLINE TECHNOLOGY SERVICES FORM
Instructions: Please fill out all of the fields on the form below. It is important that you put the G number or Serial number of the equipment in question. We will contact you as soon as we have the opportunity.
Helix Faculty Member Name (your first and last name)
Your E-mail Address jschmoe@helixcharter.net
Helix Voicemail/Extension
Date of request (please use xxxx/xx/xx form... ex, 2001/02/20)
Type of Equipment (please click one that best applies) --Select one of the following choices that best matches-- PC Computer System MAC Computer System Citrix Terminal Station Media Technology equipment (television/VCR/laserdisc player/overhead projector/etc...) Other
Inventory/G# and/or Serial#
Description of Equipment (brand/model number/type of equipment)
Location of Equipment (room # and location in room)
Description of Services to be completed