To request a computer repair, please fill out this form and drop it off in the box in the Main Office.
Thank you, K. Ballash.

This repair request is for non SIS computers only. Call the LAUSD Repair Hotline (213-633-8110) for repairs on printers, TVs, VCRs, camcorders and all IBM, Mac, and ITD computers and all computers that use the SIS or FIS system. Use the Computer Repair Record form to keep track of your requests from the Repair Hotline.
 

Name ______________________   Office/Room _________ Date ________ JOB # ________

Computer model __________   SN#____________________  Operating System (OS) ______

Warranty number  (if available, usually on the back) ______________________

and phone number (if available, usually on the back)  _____________________

Describe the problem _________________________________________________________

__________________________________________________________________________

What was the operator doing on the computer when the problem occurred? ______________

__________________________________________________________________________

Have there been any changes to the computer or software installed recently? ______________

__________________________________________________________________________

What steps have you taken to try and solve the problem? _____________________________

__________________________________________________________________________

Repairs Made and description:                                                  Repair Person ______________
1. ________________________________________________________________________

2. ________________________________________________________________________

3. ________________________________________________________________________

4. ________________________________________________________________________
 
 

Images Downloaded from Anthony's Icon Library, WWW Images: http://www.cit.gu.edu.au/images/Images.html , December, 1998.