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IT Help Desk Ticket
Requester Information
section
Date Requested
field type date
Date will be captured on form submission
Requester Name
*
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Requester Email
*
field type email
Department
*
field type drop-down
Town Hall
Elder Affairs
Facilities
Fire
Harbor
IT
Library
Police
Public Works
Recreation
Safe Harbor
School
Water
Town Hall Department
*
field type drop-down
Accounting
Assessing
HR
Permitting and Inspections
Public Works
Town Administrator
Town Clerk
Treasurer
Sewer
School
*
field type drop-down
Administration
High School
Middle School
Deer Hill
Osgood
Special Education
Transportation
Food Service
Custodial
METCO
Athletics
When are you available for us to take a look at this issue?
*
field type multi line
Best number to reach you at?
*
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Request Details
section
Please fill out all of the required details so that your request may be processed.
Request Type
*
field type drop-down
Aspen
Clever
BYOD
Building Access
Cameras
Email
Hardware (Laptops, Desktops, Chromebooks, projectors, etc.)
Internet
Other
Password Reset
Printing
Software
Telephony
Web Filtering
Date Requested By
*
field type date
Priority
*
field type radio button
On a scale of 1-5 with 5 being highest priority
Priority
1
2
3
4
5
Request Description
*
field type multi line
Describe your request in detail. If this is a troubleshooting request, describe the time the error occured, what actions you performed before getting the error and any error messages received.
What software are you having issues with?
*
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
What hardware is this request related to?
field type drop-down
Desktop computer
Laptop computer
Tablet
Mobile Phone
Printer
Scanner
Monitor
Keyboard/mouse
Phone
Fax
Other
Web Filtering
section
What web address are you trying to access?
*
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
What internet network, would you like this to be unblocked on?
field type checkbox
Check all that apply
What internet network, would you like this to be unblocked on?
Student
Staff
What will you be accessing this site for?
*
field type multi line
Associated Attachments
field type file upload
Include applicable screenshots, manager approval emails, etc.
Drop files here
You have reached the maximum file limit: .
Spam capture please leave empty
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