Technology Fine Waiver Request

Technology Fine Waiver Approval

Use this form when requesting approval for a Technology Fine Waiver. Please include as much information as possible to avoid delays in processing your request.
Your Role:*
IIQ Ticket number related to this fine (see your STS if you don't have this information):*
Your Name:*

First NameLast Name
If you are submitting this request on behalf of someone else, please list their name:*

First NameLast Name
Email of someone who can answer questions about this request:*
example@example.com
School:*
Student's Name:*

First NameLast Name
Student's ID #:*
Description of fine:*
Please include as much information as possible, including any work order numbers, device asset id numbers and dates related to the fine assessment or loss of device.
Please describe why this fine waiver is being requested:*
Should be Empty:

Technology Fine Waiver Approval