Technology Work Order

Date Submitted *

Building *

First Name *

Last Name *

Comsewogue Email Address *

Contact Phone Number *

Room # / Office / Department *

Type of Problem *

Other *

To request software, an app or program, please complete this form.

If your name has changed and you are submitting a work order to have the name changed when someone dials your phone extension, submit this work order and also complete the Change of Name form.

Which phone extension is experiencing an issue? *

Which accounts do you need a Password reset for? *

Please describe the issue you are experiencing. *

OPTIONAL: Upload any images / documents that may be helpful in fixing the issue.

To take a screenshot:

Windows: Use the Snipping Tool.

Mac: CMD + 4 (Manual Screenshot) or CMD + 3 (Full Page Screenshot).

Phone: Simultaneously press the Lock Button & Volume Button.

In Progress Notes *

Additional Information that is Required *

Resolution Notes *