Support Request Form

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Schwob Library

Phone:
706-568-2043/2098

Support Request Form

Online support requests must be submitted at least 36 HOURS before needed.

This form is for use by Columbus State University faculty and staff only.
Student requests must be made through the appropriate instructor or organization sponsor.

Please call Instructional Technology Services at 568-2043 if you have any questions.

Items in red are required!

Requester:
Department:
Telephone: Office: Other:
Preferred E-mail:
Priority: Urgent High Medium Low
Problem or Request: (Please be as specific as possible)
Dates Requested: Start Date: Start Time: End Date: End Time:
Support Location: (Building & Rm #)
Point-of-Contact: (if different than requester)
POC Contact Phone & Email:
Additional Comments:

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Instructional Technology Services Division of Simon Schwob Memorial Library Ph: 706-568-2043 Fax: 706-568-3455	Questions/Comments?	Columbus State University 4225 University Avenue Columbus, Georgia 31907

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