Technician Request Form
Sodus Middle 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 Mary Heidenreich, MS 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
Related
Comments: _____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
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