Webb School Technology Request
First Name:
*
Last Name:
*
E-mail:
*
Phone:
Problem/Request Type:
*
E-Mail
Hardware (Keyboard)
Hardware (Monitor)
Hardware (Mouse)
Hardware (PC)
Hardware (Other)
Internet
Network (Login/Access)
Other Application
Phone
Printer
Word/Excel
Is the problem:
limited to one application/task
effecting the whole computer
intermittent
constant
Have you restarted your computer?:
*
Yes
No
Not Applicable
Describe your request or problem:
*
Enter the letters shown: