DEPARTMENT OF PUBLIC SAFETY HELP DESK FORM

* indicates a required field

2. First Name*
3. Last Name*
5. PC Hardware Requested
   -- Select One --dpstechsupport@lancastercoutnypa.gov
6. Date and Time Of Request
   Date and Time Of Request

   Date and Time Of Request

   Fill Out Date and Time of Submittal 

7. PC Hardware Needed

   1. Keyboard
   2. Mouse
   3. Monitor
   4. PC Tower
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8. 1. Receive an email copy of this form.
9. Email address

   This field is not part of the form submission.

10. Submit