PC Build / Rebuild Form

For all laptops please ensure that power supply is provided.

________________________________________________

Job Number ( if given )

Job

	New PC
	Rebuild

Company Name*

Employee Name*

Email Address*

Archive E-mail to Network*

Contact Phone*

Fault Description

Username*

Password*

Remote Access*

Remote Access Username*

Remote Access Password*

NOTE: If VPN Acess not required please type N/A

Do you want data backed up?*

Note: Once rebuilt your data will be saved under C:/old drive/

Operating System*

64 or 32 Bit*

MS Office*

MS Office Type*

Anti Virus*

Applications*

Media Supplied*

Additional Mailboxes

Archive Mailboxes

Default Printer*

Requested By*

Authorised By*

IT Support