Computer Repair Center Work Order Form - University Computer Equipment
Email completed form to pcrepair@txstate.edu
Complete a form for each item to be repaired
Customer Name Contact Person (full time person-who do we contact ?) Signature: Department: Computer Admin Password (state “none” if none): Type of equipment: desktop computer Brand: Serial #: laptop computer monitor printer other (Dell, Apple, HP etc.) Model: Asset tag # (if present): Today’s Date: Phone: Customer NetID
(username) (username) (This computer is used by whom? Specify a person’s name. If lab, specify Lab name, bldg/room)
Contact NetID
If Dell Monitor–provide serial number of the CPU to which monitor is attached Description of problem or work to be done: (If a hard drive re-image is the only work needed, with no data to capture, do not complete this form. Instead, download the Request for Computer Refurbish Services form at tr.txstate.edu/Hardware/refurbish.htm and click Form and follow instructions.)
Initial here:
Notice: Customers are responsible for their own data. We take no responsibility for data loss. When possible, we attempt to assist customers who have failed to make proper backups, but can make no promises concerning recovery of data. In other words you should routinely backup your data in case you have equipment problems.
If necessary, may we delete all files (data and software programs) in order to re-install the operating system and make the computer functional again? yes no Would you like the standard software image installed? yes no Include power supply if laptop or printer yes Equipment/software checked in with item(s): no
Equipment under manufacturer’s warranty: yes no don’t know Equipment under CRC contract: yes no don’t know If not under warranty OR on CRC contract: Call with estimate just fix it Call if over $ Computer usage: Instructional (faculty or lab) Name of faculty member/lab or Administrative (not faculty or lab) Account Name: Cost/Fund Center # Internal Order # Fund # WBS Element #
To request equipment to be picked up, complete this section
Does equipment require 2 people to lift? yes Is room locked? yes
no no
Pick up from Bldg/Room:
Room # to get key: Deliver to Bldg/Room #
Person who has the key:
There is a $10.00 pick/delivery fee (unless computer is a Dell under warranty), even if computer is instructional. Complete the Account information requested above.
***Office Use Only***
CRC: ______ Date picked up: ________ Picked up by: ________ Bldg-room: ___________