Pitzer IT – Request

IT - Computer Restart Request January 19, 2021

This form is for those who wish their computers to be turned back on after the planned power interruption on January 15th. All devices will be powered back on throughout the day of January 19th.

Name*
First Last
Department*
Office Location - Building*
Office Location - Room*
Office Location - Room*
Office Location - Room*
Office Location - Room*
Office Location - Room*
Office Location - Room*
Office Location - Room*
Office Location - Room*
Office Location - Room*
Office Location - Room*
Office Location - Room*
Office Location - Room*
Other:*
Office Access*
Key number*
What is the number stamped on *BOTH* sides of the key:
Please list each device you need to be restarted:*
Device Computer Name / Asset Number (if available)

(click the plus sign to add more devices)
Comments

Device	Computer Name / Asset Number (if available)