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HELPDESK - REQUEST FORM

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*Title: Priority:

User Information

Support requests involving outages for mission critical functions such as immediate teaching needs, core infrastructure (campus network and servers), and telecommunications will receive urgent attention. Please allow a minimum of five (5) business days for completion of all other requests. We will try to accommodate requests as soon as possible within the constraints of the current workload. Requests with larger scopes may require more than five (5) days to complete. When a larger scope request is received, the IT staff will provide an estimated completion time for the request.

*Requestor:

*Requesting Department:

*Requested completion date:

MM/DD/YYYY

Contact Information

*Last Name:		*First Name:
*Phone:		*Email Address:

Description of Issue or request

Use this field to capture any important information that was not captured in the above fields.
(To expedite your request, enter your availability for the IT Staff to look at your issue)

Click the SUBMIT button to send your Request. There is no need to reply to this email. You will receive an email confirmation if your Request is successfully registered. Please contact nkhelpdesk@campuses.psu.edu if you experience problems using this form. Be sure to click the submit button only once. A separate Issue will be entered each time the button is clicked.