Please fill out this form in its entirety.Your request will be reviewed by our staff and we will get back with you within 5 business days.
*** ALL FIELDS ARE REQUIRED. THANK YOU.
First Name: Last Name:
Email Address: Phone:
NetID: Printer #:
Name of Lab: College:
# of Pages: File Name:
What Happened to the Printer? Select... Printer Jam Network Outage Damaged Printout Streaky Printout Something Else Application you printed from? Select... Word Excel PowerPoint Web Page Adobe PDF Other
When did this happen, and how many pages are you requesting credit for?:
Please provide the date and time of the incident. Also put the number of pages you are requesting credit for. You may also include additional information about the incident here.