* First Name:

* Last Name:

* Phone:

* E-mail:
@ medicine.nevada.edu unr.edu unr.nevada.edu

* Location of Computer (Building Name and Room):

*Department:
Please Select Administration ASA Biochemistry BME Budget CEHSO - Elko CEHSO - Reno CMB CME CMPP Dean's Office North Dean's Office South Emergency Medicine Family Medicine - North Family Medicine - South Genetics Geriatrics & Gerontology GME HR Internal Medicine - North Internal Medicine - South Lab Animal Medicine Microbiology MSAN MSAS Nutrition NFPRP NGEC - North NGEC - South NSHL OME OFAD ObGyn Pathology Pediatrics - North Pediatrics - South Pharmacology Physiology & Cell Biology Plastic Surgery Psychiatry - North Psychiatry - South Recruitment Savitt Library Speech Pathology Student Health Surgery

Computer Request or Problem:

*Select a work order type to route this request to the appropriate technician:
Please Select Physiology BioChemistry NFPRP Misys Web Sites Audio/Visual Classroom Network/Servers Security/HIPAA Help Desk

*Select your computers operating system:
Please Select Windows XP Professional Windows 2000 Professional Windows Vista MAC OS Linux

*Business Impact:
Please Select System Down - 50% or more of users unable to work or Patient Safety impacted Major Impact - Significant impact/system failure or less than 50% of users unable to work General - All other issues/question

* Type a brief description of your problem or request: