Hardware Repair Request Form

IT Help Desk
Hardware Repair Request Form

If you are experiencing a hardware malfunction you may submit a work order to the IT HelpDesk by filling out the form below and selecting the "SUBMIT" button at the bottom.
If this is an emergency you may also submit a work order by calling us at 274-HELP

Select Here to Return!

Original: January 1996 Darren W. Overfelt - IT
Updated: 21 March 1996 Darren W. Overfelt - IT
Comments: Survey or Web Form.

URL: http://www.iupui.edu/ithome/help/forms/hardware.html

SUBMITTER INFORMATION
*Name:**
*E-Mail Address:**
CONTACT INFORMATION
*Name:**
*Phone Number:**
Department:
Account Number:
Desired Date/Time of Service:
LOCATION INFORMATION
Building:
Room:
HARDWARE INFORMATION
Manufacturer:
Type of Equipment:
Model:
Serial Number:
Description of Problem

IT Help Desk Hardware Repair Request Form

IT Help Desk
Hardware Repair Request Form