Use this form to request IT support for CRC Campus Computer Systems

Please fill this form out in its entirety, all fields are required for submission.
If you use a Los Rios email address you will receive an email receipt of this form upon successful submission.

Contact Information
First Name:
Last Name:
Phone:
Email:
Building/Room/Location:

Available Hours:
Day:
Time:	to

Problem Equipment:
Problem Description: Please be as descriptive of the problem as possible. Include the following (if applicable): error codes or messages what you were doing when the problem occurred open applications at the time the problem occurred any other information that might be useful in troubleshooting your reported problem