Mansfield University of Pennsylvania

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Mansfield University Home Page > Student Technology Services Home Page > TechConnect > Carry-In Request Form

Take to Pinecrest Manor Room 100 or 102

Student Name:    
Residence Hall & Room #:    
Phone:    
Serial # of Unit:    
Today's Date:    

Your explanation of the problem:

What Antivirus Software do you have?    

What have you already tried to fix the problem?

Any Passwords on your computer?
Bios:

Windows:

TechConnect Staff Only
Received By:   Date Received:    

Triage Report:

Next Steps Advised:

Returned to student:
Phone Call Date:
Email Date:       

Pickup Date:
Returned by:    

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