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Profile Form

On-Line Service Ticket






Computer User Profile Form   

Section A - General Information  (Tab through fields, press "Enter"to submit)
Name of person filling out form:
(First)
(Required)
(Last)
(Required)
E-mail address of person filling out form:
(Required)
Name of computer user: (if different from person filling out form)
(First)
(Last)
E-mail address of computer user: (if different from person filling out form.  If you have more than one, please list them all)
Company (if applicable)
Telephone number of company:
- -
Telephone number of computer user:
- -
(Ext).
Telephone number of person filling out form:
- -
(Ext).
Title or position of computer user:
Describe the location of this computer (i.e. reception desk) and list the address and city if there are multiple locations:
Section B - Dial-up Modem Connectivity
Does your computer utilize a dial-up modem? (If no, skip to the next section)

Yes

No

If you have a modem, what software programs do you use with your modem?
Does your modem share a phone line with another computer or modem?
Yes

No

 Is there an access code your modem needs to dial-out in order to access an outside dial-tone?
Yes

No

If so, what is the access code?

 

Section C - E-mail
Internet service provider:  (if you have more than one, please list them all)
Do you use inter-office e-mail?
Yes
No
If yes, what software programs do you use for inter-office e-mail?
Section D - Software Profile
What software programs installed on your computer are used frequently?
What software programs installed on your computer are not used frequently but should remain on your computer?
What software programs installed on your computer can be deleted or uninstalled?
If your computer is part of a network, list the software programs that use data files that are shared with other users on the network:
Section E - Miscellaneous Information
List data files or software programs that are viewer sensitive and should not be accessible
by other users on the network or other users within your organization:
List any custom settings required on your computer:
What printer(s) should your computer have access to? (please list the printer model(s), location(s), and the default printer)
Section F - Username and Password Information
(username and password may be case sensitive)
Network:
(username)
(password)
Computer:
(username)
(password)
Internet Dial-Up Access:
(username)
(password)
Internet E-mail:
(username)
(password)
Inter-Office E-mail:
(username)
(password)
BIOS:
(username)
(password)
Screen Saver:
(username)
(password)
Other:
(username)
(password)