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IT Support Request

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Please complete the form below to alert the IT Support team of your issue(s). For an immediate response, please contact Albert Reyes at EXT 175 or a.reyes@lifelinecharterschool.com.

Staff Name*

Answer Required

Location*

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High School

Middle School

Upper Elementary School

Lower Elementary School

Room Number*

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Describe problem in detail*

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Importance of Request*

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Emergency

As Soon As Possible

As Time Permits

Please provide a picture or any supporting evidence. (Recommended)

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Choose a file or drag it here.

Confirmation Email

Confirmation Email *

Email Required