Fill out this form to request service and repair for your County Computer Asset. When you fill out this form you can submit your request online or print it out to fax in. You will also be able to print it for your records.

First Name:*

Last Name:*

E-Mail Address:*

Phone Number:*

Employee Number:*

Request Type:*

Hardware Software

Email Network

Please indicate the type of request you are making for service.

Please indicate the severity or priority that your issue is (standard issue is considered a Severity 3(Medium). Please choose this unless you are reporting a system outage, are high-level management official, or have a complete site outage. We will change your severity according to our assessment on all issues.

Urgency:*

Severity 1(Highest) Severity 2(High/Medium) Severity 3(Medium)

Severity 4(Medium/Low) Severity 5(Low)