Change to Service Request
 Use this form to request a change to an ICT service.   
 

NOTE:  All fields that have an * beside them must be completed, otherwise the form will not submit.

Please supply  as much of the following information as you possibly can to assist ICT in assessing the service requirements, we will contact you for clarification if necessary’
 
* First Name
* Last Name
* Work Phone
* E-mail  (Eg name@usq.edu.au)
 
* Staff ID Please make sure your Staff ID number is correct as we use this to log and track this request
 The staff ID number must be 6 digits without letters. EG 1234 to be entered as 001234

*Department/Faculty:
(If other please provide further information)
   

*Department/Faculty:
  (If Other Please provide further information)

Change Details 
 
*Change Description:
 
 

Product or Service Owner: (If Known)
 

 
 

*Business Requirement:

 
 

Other Requirements: