USC CHEMISTRY DEPARTMENT
PC WORK REQUEST
GROUP:
DATE:
NAME:
ROOM:
PHONE AND/OR EMAIL:
FUND#
PC INFORMATION
PC BRAND:
MODEL#:
PROCESSOR/SPEED:
SERIAL#:
USC TAG# (IF APPLICABLE):
PC SERVICES NEEDED: ________________________________________________________________
______________________________________________________________________________________
DO NOT WRITE BELOW THIS LINE
Date: ____________
WORK PERFORMED: __________________________________________________________________
______________________________________________________________________________________
Software Installed (if applicable): (license purchase info available on Chemistry Electronic Services website)
________________________________ Service Pack _____
Operating System:
Microsoft Office:
________________________________ Service Pack _____
Other:
________________________________
Machine Name: ________________ Workgroup Name or Domain: ________________
Hardware Installed (if applicable): _________________________________________________________
_________________________________________________________
$0.00
$15 per
Charges: Labor ______ hours x $10.00
per hour
hours== ____________
Parts _________________________________________
Parts _________________________________________
$0.00
Total charge = ____________
Tech: _________