» Darling & Wilson – Submit a Ticket

Information of requester

Your Name*

First Last

Your Email*

Enter Email Confirm Email

Is this request for you or on the behalf of someone else?

Self
Another User

What can we help you with today?*

New Workstation
Workstation Issue
New Access Request
Printer/Scanner Issue
Suggest Changes to the form
Other

Name of User

First Last

Email of User

New Access Request

What access is being requested?

Select All
Computer Login
Email
Other

Name of User*

First Last

User to copy credentials from*

Specify 'Other'

Printer/Scanner Issue

Which printer is having the issue?

Workstation being used?*

Briefly describe the issue.*

Other Issue

Briefly explain what you need help with.*

Workstation Issue

What seems to be the issue with your workstation?*

Please describe the issue*

New Workstation

Is this tied to an existing ticket? (did a tech send you here to fill this out)*

Yes
No

Ticket Number*

What software will need to be installed?*

Additional Software / Remote Access

Which printer(s) does the user need access to.

Will the new workstation need any peripherals?*

Yes
No

What will this computer require?

Select All
Monitor
Mouse
Keyboard

Best way to contact you

What is the best way to contact you?*

Company Phone
Email
Cell Phone

Cell Phone Number*

Ext.

Darling & Wilson – Submit a Ticket