U R S I N U S

Technology Support Center Request Form

This form is for use by Ursinus College students, faculty and staff only. Sorry, but we cannot provide support for others.
For emergencies during normal Technology Support Center hours of operation please dial 2244.
You can also contact us by e-mail at techsupport@ursinus.edu.

Please provide the following information:

First name*
Last name*
Title  
Work Phone*
E-mail*
Department*
Other(if not in list)
Location*
Other(if not in list)
Type of request
Operating System:
Other(if not in list)
Date the problem occurred -- mm/dd/yy
Time the problem occurred -- hh:mm am/pm

Describe the problem with as much detail as possible.*

*Required field.

    

Leave this field as A.