Jiffy-Lube” Technology Work Form

							                      “Jiffy-Lube” Technology Work Form

Customer Information:

Name:                                             Day Phone Number:

Location:

Password for security software if any:

Computer Model:                                                  BOCES ID Tag #:

Name of Printer Model Connected to Computer:

Is this computer connected to a school network?

Is this computer connected to a modem that you use?      Yes          No
If yes, modem name:

Please describe the problem:




Technician Report:
Computer Make/Model                  System:              Ram:             HD:

Problem Resolution: