City Employee Desktop Printer Inquiry

2. First Name*

4. Last Name*

6. Phone Number*

8. Email Address*

10. Department*

12. Office Address*

14. Location

    Building, floor, etc.

16. Department ITA

18. Printer

    Brand, Model Number (e.g. HP Laserjet 5000 N)

Leave This Blank:


19. 1. Receive email copy
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field