Technical Request Form

In an effort to streamline the process of requesting technical assistance, we have created this form.  Please fill-out all areas to the best of your knowledge so that we may better assist you. Media Specialists, school administrators, and departments may submit technical requests via this form, email, or phone.

Technical requests from schools must be submitted by the Media Specialist. Requests submitted by teachers will be sent back to the school's Media Specialist to be processed thereby delaying the request.

Thank you,
Rich Muller
(706) 826-1103

Fields in boldface type are required.

Full Name
Email Address If RCBE email, click in front of the @ symbol & type username. If not, delete and enter email address.
Room Number/Location
School/Department Code
Type of Computer/Operating System
Equipment Manufacturer
Model Number
Serial Number or Service Tag (Dell)
Printer Make/Model (If applicable)
Is this a New or Existing Problem?
          New   Existing
Problem Type
Item Under Warranty Yes
Is this a Special Education computer?
          No   Yes
Is this a Title I computer?
          No   Yes
Type of Assistance Requested Technical 
Instructional Programming
Brief Explanation of Problem/Request
Additional Comments