Help Desk . Main . Problem Request

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Need to report a problem?

Computer Operations and Help Desk Services

Please complete this form in its entirety.
Missing information could result in a delay of your request.
For confirmation, the Contact Email Address will be sent an e-mail containing a copy of the problem report.
Any field marked with a * is required.

User ID or UA Fort Smith Tag Number*
Contact Email Address* (full email address):

As the Requestor, enter your information.

First Name*

Last Name*

Building Name

Room Number

Phone Extension*

Contact Person's information. Are you also the Contact Person? Yes No

Are you also the Contact Person? Yes No

First Name

Last Name

Building Name

Room Number

Phone Extension

Complete the description of service requested
- If you are having a problem, include information on problem in Comments (Item 5).
- Check all that apply:
  - Printer Related
  - Network Related
  - Software Related
  - Voice Mail Related
  - Computer Related
  - UA Fort Smith Web Related
  - Email Related
  - Long Distance Code
  - Scanner
  - Password Related
  - Telephone Related
  - Security Request
- For hardware upgrades and repairs, check all that apply:
  - Hardware Repairs Requested
  - Hardware Upgrades Requested. Specify the request-type below:
    - Quotation Only for Potential Upgrade
    - Upgrade Requested (No Quotation Necessary)*
    - Upgrade Requested (Quotation Received and Acceptable)*
- For software upgrades and repairs, check all that apply:
  - Software Upgrade Requested
  - Software Install Requested. Specify the request-type below:
    - Quotation Only for Potential Upgrade
    - Upgrade Requested (No Quotation Necessary)*
    - Upgrade Requested (Quotation Received and Acceptable)*
- Security Request, check all that apply:
  Name of user security is requested for:
  - LionsLink and Windows
  - Banner — indicate area(s) and/or copy security
    (Student, Finance, H.R., etc.)
    like security setup (user's name)
  - Microsoft Office Suite

Charge To information:
- FOAPAL*:
* Required for ALL hardware/software requests regardless of warranty.
* Required for long distance code assignment.

Problem Description*: Enter details of your problem or request here. Be sure to include as much information as possible, such as the name and version of current software, best time to call you if we have any questions, error message and/or description of problem, actions you have taken to correct problem (rebooted, unplugged and replugged cables, powered off and back on, etc.).

Please click the Submit button if the information above is correct. If you need to clear it and start over, click Reset button.

* Denotes a required field.

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- = Admin = -