Chemistry IT

Supporting Chemistry and Chemical Biology

IT Request Form

Please fill out the form below to submit a request to Chemistry IT.

*Required fields.

Personal Contact Information

* Your Name
* Cornell NetID
just NetID (please don't include
* Phone Number
* Group

Your Location

* Building
* Room Number

Request Details

* Subject
* Full Description

Please provide any additional information about your request which will help us address your needs more effectively.

Request Type
Computer Name
Operating Platform

You may attach a file, screen shot, or image that captures your problem and can help us to better understand your request.

Attach File

Required for Printer and Toner Requests

Printer Name
Printer Model
(not needed if entered Printer Name)
Color(s) Needed
Account Number
Printer Tag Number
(the Eastern tag, only if present)

Submit your request

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