Your Name*

Your SVVSD Username* (last_first only)
@svvsd.org

SVVSD Building*

---Alpine ESAltona MSAPEXAspen Ridge PSBlack Rock ESBlue Mountain ESBurlington ESCarbon Valley AcademyCDC-Olde Columbine HSCentral ESCentennial ESClover BasinCoal Ridge MSColumbine ESEagle Crest ESEast Bus TerminalErie ESErie MSErie HSESCFall River ESFlagstaff CAFrederick HSGrand View ESHygiene ESImagine CSIndian Peaks ESInnovation CenterLashley ESCLegacy ESLincoln ESCLongmont Estates ESLongmont HSLongs Peak MSLSCLyons ESLyons MSMain Street SchoolMead ESMead MSMead HSMountain View ESNiwot ESNiwot HSNorthridge ESPrairie Ridge ESRed Hawk ESRocky Mountain ESSanborn ESSilver Creek HSSkyline HSSoaring Heights PK8Spark DPSVC MontessoriStudent ServicesSunset MSTimberline PK8Thunder Valley K8Trail Ridge MSTwin Peaks CharterWestview MS

Your Phone Extension*

Equipment Type*
---Belkin iPad KeyboardsDocument CameraHeadphone - LTP provided onlyLaminatorLCD ProjectorLCD Projector, Ceiling Mounted, Lamp Burnt OutPadCasterRoom Media SystemUPSScanner
Only peripherals listed in the pull down are supported by DTS. You will need to investigate purchasing replacements for all other types

Location of Equipment* (Room #)

Make & Model* (For LCD Projectors, enter "Epson" and choose from the dropdown)
---83+95SW95SWH96W99W99WH410W425W525W

Asset Tag Number (if applicable)

Serial Number (if applicable)

Summary of Issue* (3-4 words)

Sending into DTS (Leave unchecked to have the issue addressed onsite.)

Additional Information*