- Information Technology - Lewis & Clark

This form is to be completed if you feel that your printing accounting has been wrongfully charged i.e. when the printer malfunctions. All future correspondence regarding this appeal will be handled via e-mail, including any decisions.

All fields marked with asterisk (*) are required.

required text field
required date/time field
Specify the exact date when printing issue occurred.*
Please include the time of day to the best of your knowledge.
required e-mail address field
radio button field
Type of file you were trying to print
required text field
Please include the name of the file you tried to print.
required text field
Provide estimate. We will discover the exact number upon review your appeal.
required radio button field
Printer where the problem was encountered:*
required textarea field