Technician Request Form

Sodus Primary School

(Only ONE problem per request form)

Name: _____________________________________ Date: __________

Room Number: __________

Computer that needs attention: A_______ B ________ Other________

Describe Problem: ______________________________________________________

_____________________________________________________________________

When can the technician work on the problem?

ð anytime

ð specific time: _____________________________________________

The following time is NOT good: ______________________________________

Please return to Char DeFisher, Primary Computer Lab)

Technician Report

ð Work done on: ____________________ By whom: _________________________

ð Problem needs follow-up on ________________ at ____________________

(date) (time)

Type of problem: _____computer related _____printer relater _____software/OS

Comments: _____________________________________________________________

_____________________________________________________________