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    Ganesha Rodensi Sipahutar
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    This document is an IT service request form for PT. Intan Hevea Industry. The form collects information about the service request including the request date and time, categories of issue, details of the problem, and sections to be filled out by IT during investigation, root cause analysis, repairs or replacements, and upon resolution of the problem. Once solved, the form is signed off by IT and the originator to close the request.

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    This document is an IT service request form for PT. Intan Hevea Industry. The form collects information about the service request including the request date and time, categories of issue, details of the problem, and sections to be filled out by IT during investigation, root cause analysis, repairs or replacements, and upon resolution of the problem. Once solved, the form is signed off by IT and the originator to close the request.

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    © All Rights Reserved
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    Download as pdf or txt
    0 views1 page

    IT Service Request

    Uploaded by

    Ganesha Rodensi Sipahutar
    This document is an IT service request form for PT. Intan Hevea Industry. The form collects information about the service request including the request date and time, categories of issue, details of the problem, and sections to be filled out by IT during investigation, root cause analysis, repairs or replacements, and upon resolution of the problem. Once solved, the form is signed off by IT and the originator to close the request.

    Copyright:

    © All Rights Reserved
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    of 1

    PT.

    INTAN HEVEA INDUSTRY


    IT SERVICE REQUEST

    S.R NO. : Request By :


    Request Date/ Time : / Department :
    Categories : NETWORK (WiFi, LAN, ACCESS POINT, ROUTER, MODEM, etc)

    SOFTWARE (PROGRAMS, APPLICATION, OPERATING SYSTEM, etc)

    HARDWARE (CPU, MONITOR, MOUSE, KEYBOARD, PRINTER, SCANNER, UPS, etc)

    PABX (TELEPHONE UNIT, CABLE, CONNECTOR, etc)

    OTHERS (FINGER PRINT, DIGITAL SCALE, SERIAL CONNECTOR, etc)

    Details :

    Requested By Acknowledged By Approved By Date/ Time : /

    FILLED BY IT
    Investigation :

    Root Cause :

    Action :

    With Condition : NO NEW PART/S NEEDED

    NEW PART/S NEEDED TO REPLACE THE OLD ONE

    CAN'T BE REPAIRED. NEED TO BE CHANGED WITH NEW UNIT

    Details :

    Problem Solved By : IT VENDOR


    Date/ Time : / Status : Open On Progress/ Monitor Close

    Accepted and Verified by Solved by


    White : IT Red : Originator (After/Done) Yellow : Requestor (Before)

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