NBC IT Help Request Form
* Important! Fill in all of the fields below *
We need this information in order to fulfill your request, otherwise it may not be processed. After you submit the form, someone from the IT Group will contact you shortly to set up an appointment.

Name:   

Vet Email Address:   

Department:   

Location of Computer  -    Room #:        Building:   

Phone #:   

Additional Email: If you use an email client other than Penn's (i.e. hotmail, yahoo, etc...),
please enter that address here:   

Nature of Problem:
Email
Printer
Internet
Hardware (i.e. monitor, mouse, cd burner, etc...)
Software (i.e. PowerPoint, Word, Excel, etc...)
Other: (please specify the problem below)
     

Important!
Specifics: Please describe the problem with the machine. Be as specific as possible, and
include any relevant error messages exactly as they appear on the computer.