Submit a request – Department of Medicine IT Helpdesk

Please choose your issue below

Your email address

Subject(optional)

Please give us a brief description

A member of our support staff will respond as soon as possible.

DOMID

The 4-5 digit number on the device with a UW-Madison "W" logo. For example, DOM12345

Jack#(optional)

Number listed on the wall plate data jack.

Windows 10 exception

Explain the business reason why this computer cannot be upgraded to Windows 10.

Duration of the extension(optional)

How long do you need the extension for? Extension beyond 3 years is prohibited.

Attachments(optional)

Add file or drop files here