Service Request Form

Print out and Fax to 584 1964

Tips for submitting a service request: Be brief but complete in your answers. Submit a separate service request for each problem. Watch your E-mail for acknowledgment of your request and assignment of a trouble ticket. Questions marked with an X are required for request submission.

Your name X                                                                                                                                     

Your TEN-NASH Email address                                                                    @tennk12.net               

(If you want an E-mail response to confirm your ticket creation. As of 1/2004 responses are ONLY sent to TEN-NASH accounts.)

School X                                                                                                                                           

Room number or short description of location X                                                                        

What needs service? X                                                                                                                    

If equipment needs service, what is the serial number? (Or identify the machine in such a way as

the tech can find it if you aren't present when they arrive). X                                                     

(Usually a ten-digit number that begins with 97, 98, 99, or 20 if Premio brand)

If other than computer equipment then briefly describe:                                                            

What was the failure? X                                                                                                                 

What software were you using?                                                                                                    

Is the failure repeatable? X       Yes                      No                    Sometimes            

Where there any changes made before the failure?                                                                   

Where there any error messages displayed? (If so note here):                                                

Any additional information that would be helpful in resolving your request?