Request for setup of a computer

Please use this form to request the IT Service to set up a computer.

When you submit the form, a ticket ("work order") is automatically generated.

Please direct any questions to itservice"AT"chemie.uni-hamburg.de.

Sender

Your name:
Your mail adress:
Your phone (at the department):
Your institute:
Your research group/service unit:
Building/Room

Request

Device neededt:
	this will be an additional device this device is a replacement for an older device
Name for device:	(e.g. itservice23, max. 15 charachters)
System language:
number of dispalys needed:
additoinal Software/Hardware:	Please specify any additional requirements.

Formular I agree that my data may be processed for the purpose of contacting me and I accept the provisions on data protection. I can withdraw my consent at any time with effect for the future.