EMERGENCY REPLACEMENT REQUEST FORM

This form is to be used for Emergency Replacement Requests.
(Process reserved for replacement when hardware is out of warranty and repair cost is over 40% of the new item.)


Select from Dropdown Menu


example: jerne.murray@hccs.edu




select from the dropdown


preferred replacement model - if you know




Select from the Dropdown Menu






Person that will be custodian of this hardware




When is this Request expected?


Asset Tag of the hardware that is to be replaced.
Enter N/A if item has no Asset Tag



Serial Number of the hardware that is to be replaced




upload additional documents if needed






Privacy Policy   |   Report Abuse
Your submission is being processed. Please do not close this browser window until complete.