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ICT Request Form

This document is an ICT Unit Service Request Form from the Schools Division of Canlaon City in the Philippines. It requests technical assistance or troubleshooting for hardware, software, internet access, accounts, or information dissemination. The request requires approval signatures from the unit head, school head, or chief as well as the Assistant Schools Division Superintendent or Schools Division Superintendent. The ICT Unit will note the date and time the request was received and completed, along with the services provided and any remarks.

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Dean Bryan Baylon
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110 views1 page

ICT Request Form

This document is an ICT Unit Service Request Form from the Schools Division of Canlaon City in the Philippines. It requests technical assistance or troubleshooting for hardware, software, internet access, accounts, or information dissemination. The request requires approval signatures from the unit head, school head, or chief as well as the Assistant Schools Division Superintendent or Schools Division Superintendent. The ICT Unit will note the date and time the request was received and completed, along with the services provided and any remarks.

Uploaded by

Dean Bryan Baylon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
Region VII, Central Visayas
SCHOOLS DIVISION OF CANLAON CITY

2022-ICTU-

ICT UNIT SERVICE REQUEST FORM


Complete Name: DepEd Email:
School/Unit: Alternative Email:
Date: Contact Number:
Provision of Technical Assistance
☐ Face to Face with Virtual Participants
Event Details:
☐ Virtual
☐ Activity/Event
☐ Zoom Title:
Hosting/Technical
☐ Google Meet
Assistance Date/Time:
☐ MS Teams
☐ Face to Face No. of Participants:
Issues/Concerns:
☐ Hardware/Software ☐ Desktop ☐Laptop
Troubleshooting
☐ Printer ☐Others
☐ Request for Internet ☐ LAN ☐ Desktop ☐ Laptop ☐ Tablet ☐ Cellphone
Access ☐ WiFi MAC: MAC: MAC: MAC:
☐ Request for ID ☐ DepEd Last Name, First Name, Middle Name Blood Type: Employee No:
Requirement in softcopy: 2x2 ID
picture Scanned Signature
ID (ATM
Size) Designation: Contact No. in case of
☐ CSC Emergency:
Prescribed ID
☐ Video/Photo/ Details:
Graphics Layout

☐ Recorded Event
Meeting/ Title:
Details
Videos/Photos Date/Time: Platform used:

☐ Photo/video Event:
coverage Date/Time: Venue:
Details
Requirements:
Account Management
☐ DepEd Email ☐ Create Account Required Details:
☐ Office 365 ☐ Delete User
School ID:
☐ DepEd Commons ☐ Update User
☐ LMS ☐ Suspend User
Designation:
☐ DPDS ☐ Reset Password
☐ WINs ☐ Restore Data/Transaction Account Requested for:
☐ DTS ☐ Delete Transaction Employee Number (for DTS only)
☐Others, pls. specify: ☐ Edit Transaction
☐ Change Organizational Unit
☐ Change Role
Information Dissemination
NOTE: This request requires the initial of the Unit Head/School Head/Chief/ASDS and approval of the Schools Division Superintendent.
☐ Document Type ☐ Platform Details:
☐ News/Article ☐ Email Address Title:
☐ Request for Quotation ☐ Division Website
☐ Invitation to Bid ☐ Division FB Page Description/Caption:
☐ Announcement ☐ Division YouTube Channel
☐ Videos/Photos ☐ Smart TV
☐ Downloadable Forms ☐ Others, pls. specify: Attachment:
☐ Financial Reports
☐ Others, pls. specify:

Requested by: Recommending Approval: Approved:

___ _ _ _ _ _____ ___ _ _ _ _ _ _ _ _ __ ___ _ _______


Signature over printed Name (Unit Head/School Head/Chief) ASDS/SDS
FOR ICT UNIT USE ONLY
Date/Time Received: Received by:
Date/Time Completed: Service Provided by:
Remarks

Address: Lopez-Jaena St., Brgy. Mabigo, Canlaon City, Negros Oriental, 6223
Contact No.: (035) 415-1941 |+639178409286
Email Address:
Website:

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