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SmartSource Wildland Fire/Incident Response IT Service Request
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Contact Information
Incident Name
Requestor’s First Name
Requestor’s Last Name
Requestor’s Person's Cell Phone
Requestor’s Person's Email
Service Request Information
Item(s) you need replaced (make/model)
What is/are the E-code(s) on each piece of equipment?
located on barcode on back of equipment
Why do you need the item(s) replaced
Shipping Information
Shipping Contact’s First and Last Name
Ship To Contact’s Cell
Ship To Contact’s Email
Shipping Venue Name
Shipping Venue Address
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