BGHS Computer Repair Request Form
Please complete the form below
Teacher Name:
Date:
Department:
Room Number:
PC Number:
Serial Number:
Type of Computer:
Select Type
PC - Windows
Apple - Macintosh
Problem Area:
Select Problem Area
Monitor
CPU
Floppy Disk Drive
CD-ROM Drive
Mouse
Keyboard
Software
No Power
No Internet
Can't Print
Can't Save
Other - Describe Below
E-Mail:
Explain Problem: