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PHS Tech Request Form
Welcome to John H. Francis Polytechnic Help Desk Request Form. Please be advised that you must answer every question with the most detailed information you can provide to better prepare the technology team when troubleshooting the issue.
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* Indicates required question
Name (Last, First)
*
(Example: Parrot, Joe)
Your answer
Email Address
*
(Example:
Joe.Parrot@lausd.net
)
Your answer
Contact Number (optional)
Your answer
Room Number or Office Location
*
(Example: Rm 84 or Attendance Office)
Your answer
Conference / Best Period
*
Period 1
Period 2
Period 3
Period 4
Advisory
All of the above
Request Details
*
Technology Assistance
Salvage Request
Student Request
Best Time to Address Issue
*
Choose
Immediately
Throughout the day
Contact to further discuss
Type of device
*
Choose
Desktop
Teacher Laptop
Student Laptop
Printer
Projector
Promethean Board
Other
Make and Model of Device
*
(Example: HP LJ 1320n, Lenovo Thinkcentre)
Your answer
Brief Description of the Request
*
Your answer
Submit
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