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* indicates required field
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First Name *
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Last Name *
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Phone Number *
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Extension
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Email Address *
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CDS# (No Dashes/Spaces) Lookup*
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Subject *
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Attachment: Allowed File Types
".jpg", ".jpeg",
".png", ".gif", ".bmp", ".xls", ".txt",
".csv"
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* Missing File Attachment.
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Transaction ID (If applicable)
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SSID(s) (if applicable)
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Type *
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Service = Request for assistance, advice
Incident = The system is not behaving as expected
New Service = Request for change
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Sub Type *
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Description *
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Verification *
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*Please do not submit personally identififiable student
information.
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| If this is a CALPADS Service Request please go here
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