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Computer Hardware Support Services
Utilize this form to submit computer hardware problems, request new or replacement hardware.
Personal Information
Name
(Required)
First
Last
Unity ID
(Required)
Email
(Required)
Date submitted
(Required)
MM slash DD slash YYYY
Reason for submittal
(Required)
Report a computer hardware equipment problem
Replace / upgrade current computer equipment
Purchase new computer equipment
Work Phone number
Work Location
Department / Division
Administration - EHPS
Emergency Preparedness and Strategic Initiatives
Environmental Health & Safety
Insurance & Risk Management
Risk Assessment
University Police
Building
Env. Health & Safety Center
Public Safety Center
Administrative Services Annex
Broughton Hall
Office room number
(Required)
Device Information
Device
(Required)
Separate form is required for each piece of equipment issued.
Laptop
Monitor / Mount
Docking Station
Printer
Mouse
IPAD
Other
Other
Describe Hardware problem.
Describe reason for upgrade / replacement hardware
Describe new Computer hardware requirements and purpose
