School of Nursing Information Technology
Service Request Form
Please enter the contact information for this service request in the fields below.
Contact e-mail address:
First Name
Last Name
Alternate Contact
Alternate Contact2
Room Number
Phone Number
Please enter the date(s) and times(s) when you are available to meet with sn-its
staff if we are unable to resolved the request in your absence.
Please enter comments in the text area below. They will be sent to
sn-its@umich.edu
when you click on the "Submit Service Request" button below.
HTMail v1.5.
To report any problems with this form, email
sn-its@umich.edu
or call Lisa Papp (Ph.764-1317).
