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The Information Technology Department

Manual Work Order Form


Please be sure to print all information clearly
User/Requestor Information:
Name: ____________________________________________________________________________________
Location: _________________________________________________________________________________
(Building and room #)

Phone number/extension:_________________________ Email address:________________________________


PC Information:
PC Make/Model:________________________________ Asset Tag #__________________________________
(Aspect, Gateway 3400, etc.)

(Please include all zeros)

Serial Number:_____________________________________________________________________________
(Usually located on side or back of CPU)

Operating System:___________________________________________________________________________
(i.e., Windows 98, Windows XP)

Detailed Problem Description:


If problem occurred while working in an application, include the name of the application (i.e., MS Word, Excel,
Power Point, etc.) and what action was attempted when problem occurred.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
What steps were taken, if any, to solve the problem? _______________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Please document any error messages word-for-word: _______________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Please forward completed form to the Information Technology Help Desk via fax at x4366 or inter-office mail.

IT0033.0

W/O#_______

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