Covered Bridge Special Education District
Technology Work Request


Notes: Please include only ONE request per submission.

Please use a contact number that you are willing to ANSWER.
IF you can not be reached at the number you list, then I can not reach you to gather important information that is needed to complete this request.

Once you are finished, please press the "ADD" button at the bottom to submit your request.

* indicates required fields

* Status
* Contact Name
* Contact Phone Number
* Email Address
* Work being Requested
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Location of Work
Other Location
IT Notes (DO NOT WRITE IN THIS BOX, FOR IT USE ONLY)