Maricopa Community Colleges

Technical Support

This form may be completed or submitted by the ITS liaison or by employee's Supervisor. All accounts must be approved by the employee's supervisor.

Employee Information

(Inaccurate information may result in delay of service)
Employee Full Name:	(required)
E-mail Address:	(DO MEMO address)
Department:	(required)
Extension:
Office Location:

Supervisor's Information

(Supervisor Information Is Required)
Supervisor's Name:
Supervisor's E-mail:	(DO MEMO address)
Supervisor's Extension:

Computer/Desktop Requested Setup

What type of equipment is this? (required)
	CPU
	Laptop
Is this equipment? (required)
	New
	Reconfiguration
MCCCD Tag Number:	(required)
Make Of Equipment:	(required)
Model Of Equipment:	(required)
IP Address:
Current Location:
Current Jack #:
Deliver to Location:	(required)
Deliver to Jack #:	(required)
Will data need to be transferred from old computer?
	Yes policies and instructions for data transfer.
	No
Printers to be available on this machine:

Any additional equipment operating with this computer: (local printer, PDA's etc ... please include make and model of additional equipment)

QVT Address: (If requesting all ten college they must be listed separately)
dist.maricopa.edu
Non-Standard Software Applications Needed: Please deliver all software and the licenses to the Helpdesk. List of supported software

Mapped Drives: (path required, ie ... N- deptname$ on file1)

Additional Notes and Comments

Any information or comments you would like to include with this setup?


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