Chattanooga State Technical Community College
MEDIA SERVICES
Technical Support Form
697-4405 | FAX 697-4740

Equipment may be checked out by faculty
or staff for a period of three days.

 

Requestor's First Name   Requestor's Last Name  
Date of Request  
Phone   E-Mail  
Account Number  
Date of Service   Time of Service  
Location of Service  
Equipment or Materials Needed
 
Service to be Performed
 
Special Instructions
Check if you need instructions

By clicking on the "Submit" button, the person named as "requestor" will
be responsible for replacement of the equipment if lost or damaged.