ࡱ> @ HYbjbjFF ,,R 7>>>>>>>4rZ@Z@Z@hGwlwrNc@C(CCCD@EFX^#bbbbbb$eRnghb9>JDDJJb>>CCcNNNJ>C>C^NJ^NNU>> WCoy Z@JV$Xdc0NcV^gKpg, Wrr>>>>g> WFGNHlHUFFFbbrrv+vNrrv+MP2 Ticket NumberMPSCS SERVICE REPAIR REQUEST FORMTEXT      Michigan Department of Information Technology1. Requester Name2. Requester Title3. Requester Telephone4. Date Requested FORMTEXT       FORMTEXT      ( FORMTEXT    )  FORMTEXT       FORMTEXT      5. Office / Division / Section / Unit FORMTEXT      6. Contact Name7. Contact Telephone Number8. Contact Email Address FORMTEXT      ( FORMTEXT    )  FORMTEXT       FORMTEXT      9. Vehicle Number10. Vehicle Type11. Vehicle Location12. County FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Requested Repair FORMCHECKBOX Conventional Radio FORMCHECKBOX MPSCS Radio FORMCHECKBOX Mobile Data Computer FORMCHECKBOX Vehicular Repeater FORMCHECKBOX Transmit FORMCHECKBOX Transmit FORMCHECKBOX AVL FORMCHECKBOX Receive FORMCHECKBOX Receive FORMCHECKBOX PMDC FORMCHECKBOX Portable FORMCHECKBOX Portable FORMCHECKBOX WIM FORMCHECKBOX Mobile FORMCHECKBOX Mobile FORMCHECKBOX Antenna FORMCHECKBOX Antenna FORMCHECKBOX Siren FORMCHECKBOX Siren FORMCHECKBOX Speaker FORMCHECKBOX ,FHVdfh|~   " $ . 0 2 4 H J ǿǴǿǛǿǐǿǿuj1hiUjhiU hi*jhiUjhiUjhiUmHnHujshiUjhiUhijhq~UmHnHuj%hq~Ujhq~Uh ~ah)h2hq~hFaP.*z $IfgdL *<$Ifgdr8rhkd$$Ifs+1, t044 sa %$IfgdXXYZ*,fk`W .$Ifgdr8r *<$IfgdXkda$$Ifs0J+t   t044 sapjaX $IfgdL %$IfgdXkd$$Ifs40J+`t   t044 saph_ $IfgdLkd$$Ifs40J+ t   t044 sap > l $IfgdLfkdw$$Ifs+1, t044 sa 2 Z `WWWW .$IfgdLkd$$Ifs\#+;9 t044 saJ L V X ^ , . 2 B ` b v x z   & * J L t h jj1 hiUjI hq~Uj hiUj hq~Ujhq~UmHnHuj hq~Ujhq~Uhq~hijhiUmHnHujhiU8Z \ `W $IfgdLkd$$Ifs\#+;9 t044 sa *fkd $$Ifs+1, t044 sa .$IfgdLfkd$$Ifs+1, t044 sa , ^ ` jaaa .$IfgdLkdf $$IfsFl+; R t0    44 sa $IfgdL  & H r sjjaa $IfgdL $Ifgdr8rkd $$IfsFl+; R t0    44 sat v     ( * , 4 6 \ ^ ` | ~ wlj~hPUjhPUh2jh2U hq~5hq~h j5CJ OJQJh jCJOJQJjh jUjgh jUjh jUjh jUmHnHujh jUjh jUh jCJOJQJh jhi*  * `WWNN .$IfgdL .$Ifgdr8rkd$$Ifs\#+{9 t044 sa* , . 0 2 4 `WWWW $Ifgd\kd$$Ifs\#+{9 t044 sa4 6 X `T "$$Ifa$gd@4kdH$$Ifs\#+{9 t044 saX Z \ ~ $Ifgd\Gxwkd$$Ifs +1,  t 044 sap \ ^ +>~uiu .$$Ifa$gdr8r #$Ifgdr8r .$Ifgdr8r #$IfgdP .$IfgdPfkdu$$Ifs+1, t044 sa ()*>?@AOPQ[\jklvw̶̫̠̕jh ~aUj;h2Ujh ~aUjh ~aUj h ~aUjih ~aUjh ~aUh ~ajh ~aU h25jh2Uh2jh2Ujh2U2>?kdz$$Ifsִh 4!#+~  9 t0    44 sa?@R[mvFf .$$Ifa$gdr8r #$IfgdP .$IfgdP #$Ifgdr8r .$Ifgdr8r <$If]gdf' <$If]gdfkd$$Ifs֞v8 +2  t044 sa %) #$Ifgdr8r .$$Ifa$gdr8r #$IfgdP .$IfgdP #$Ifgdf .$Ifgdf "#$%)*+,:;<DESTU^_`abpqr{|ja(h ~aUj'h ~aUj&h ~aUjl%h ~aUj#h ~aUj#h ~aU h25 h\Gxh2jH!h2Ujh2Uh2jh ~aUj h ~aUh ~a4)*+% <$If]gdfkd!$$Ifsb֞v8 +2  t044 sa+=DV]^_ #$Ifgdr8r #$IfgdP .$IfgdP #$Ifgdf .$Ifgdf_`a% <$If]gdfkdO$$$Ifsb֞v8 +2  t044 saas{ #$Ifgdr8r #$IfgdP .$IfgdP #$Ifgdf .$Ifgdf% <$If]gdfkd&$$Ifsb֞v8 +2  t044 sa #$Ifgdr8r #$IfgdP .$IfgdP #$Ifgdf .$Ifgdf% <$If]gdfkd($$Ifsb֞v8 +2  t044 saTTTTT TXTZTvTxTzT|TTTTTTTTTTUUU,U6U8UTUVUXUnUxUzUUUUUṴ̥̰̇̚x̃j3hPUhPjhPUj1h ~aUj0h2UjL/h2Ujh2UhsX]j.h ~aU h25h2 h ~a5 h\Gxh ~aUj*h ~aUjh ~aUj*h ~aUh ~a/TTT #$Ifgdr8r #$IfgdP #$Ifgdf .$Ifgd ~aSpeakerMiscellaneous Repair FORMCHECKBOX MSP Emergency Call Box FORMCHECKBOX Dispatch Console FORMCHECKBOX Dictaphone FORMCHECKBOX Recorder FORMCHECKBOX Radio Traffic FORMCHECKBOX Telephone Traffic FORMCHECKBOX Playback FORMCHECKBOX Archive FORMCHECKBOX Other (Explain below) FORMTEXT      Problem Description (Include Serial Number(s))  MACROBUTTON [1] "Click HERE and Type"  MPSCS USE ONLY1. Assigned to2. Date FORMTEXT       FORMTEXT      3. Action Taken FORMTEXT       DIT-0066 Rev. 6/08  PAGE 1 of  NUMPAGES 1 DISTRIBUTION: DIT-MPSCS, 4000 Collins Road Lansing, MI 48910 Email to: MPSCS-NCC@michigan.gov TTTT% $Ifgd\Gxkdn+$$Ifsb֞v8 +2  t044 saTTT T"T$T&T(TULLLL $Ifgd4kd,$$Ifsb\v8+% t044 sa $Ifgd\Gx(T*TTT^R !$$Ifa$gd\GxkdX-$$Ifsb\kO+ o t044 saTTVTXT|TTTTU*U~ululu .$Ifgdr8r #$Ifgd\ .$Ifgd\<$$If]a$gdhkd3.$$Ifsb+1, t044 sa*U,U.U%<$$If]a$gdkd0$$Ifsb֞v8pVJ !+8   t044 sa.U0U2U4U6UZUlU .$Ifgdr8r .$Ifgd ~a #$Ifgd\ .$Ifgd\lUnUpU%<$$If]a$gdkd2$$Ifsb֞v8V !"+  t044 sapUrUtUvUxUUU .$Ifgdr8r #$Ifgd\ .$If]gd)UUU%<$$If]a$gdkdV4$$Ifsb֞v8V !"+  t044 saUUUUUUUVV.V0V2VNVPVlVnVpVVVVVVVVVVVVVVVWW.WbWdWfWhWjWWWWWWWW{ hq~5h\Gxhq~B*aJphjhq~Uhq~h\Gxh>{6 h>{5jh>{UmHnHuj;h>{U h>{6j0:h>{Uj8h>{Uj7h>{Ujs5h>{Ujh>{Uh>{h2-UUUUV #$Ifgd>{ .$Ifgd>{ #$Ifgdr8r .$Ifgdr8rV V VVVK;2) #$Ifgdr8r .$Ifgdr8r<$$If]a$gdkd6$$Ifsbrv8 !"+ t044 saV4VFVHVJV9)<$$If]a$gdkd7$$Ifsbrv8 !"+ t044 sa #$Ifgd>{ .$Ifgd>{JVLVNVrVV #$Ifgd>{ .$Ifgd>{ #$Ifgdr8r .$Ifgdr8rVVVVKB9 #$Ifgd>{ .$IfgdPkd?9$$Ifsbrv8 !"+ t044 saVVVWtk .$IfgdP<$$If]a$gd{kd:$$Ifsb0v+H) t044 saWWW{ $Ifgd\{kdo<$$Ifs0+) t044 saWWdWfW&hkd=$$Ifsb+1, t044 sa #$Ifgdr8rhkd=$$Ifsb+1, t044 safWhWWWWWx "$$Ifa$gd@4gdq~hkd=$$Ifs++, t044 sa .$Ifgdr8r.gdq~WWWXXX(X*X,X6X8X:X$$Ifs ++,  t YYY044 sap YYYXX:XbX}} .$IfgdLykd>$$Ifs0#+#6 t044 sabXdXX} $IfgdLykd@$$Ifs0#+#6 t044 saXXXXX(&hkdhB$$Ifs++, t044 sa .$IfgdLfkdQA$$Ifs++, t044 saXXXXXXX Y YYYYYYYYYY,.BDFJLNPdfhrtvx¾sfsjDhijCJUjhijCJUmHnHujChijCJU hijCJjhijCJUhijjhijUh hijhh)%hvnCJ aJ hsX]h8 h8CJhsX]0J8CJh#h80J8CJhsX]0J8CJmHnHujh80J8CJUh80J8CJ'XHYrYYYYYY "sm$IfWkdB$$Ifl4+,04 lf4$If $ !0*gdsX]$ ! !%)gd#$ ! %)gd# + 0&P/ =!@"@#@$@%@. 00&P/ =!@"@#@$@%@+ 0&P/ =!@"@#@$@%@_$$If!vh51,#v1,:V>s t51,/ 4 s$$If!vh55t #v#vt :V>s  t55t / / / 4 spDText7(MPSCS Use Only - Enter MP2 Ticket Number$$If!vh55t #v#vt :V>s4  t+55t / / / 4 sp$$If!vh55t #v#vt :V>s4  t+55t / / 4 sp[$$If!vh51,#v1,:V>s t51,/ 4 s$$If!vh5;5559#v;#v#v#v9:V>s t5;5559/ 4 sD!Text8Enter the requester's nameD Text9Enter the requester's titleD  SuperAreaCode000Enter the Requester's Area CodeD CoPhoneNumber2Enter the 7 digit phone number (Example: 373-1234) CoExtensionD Text10;Enter the 10 character date requested (Example: 12-12-2004)$$If!vh5;5559#v;#v#v#v9:V>s t5;5559/ 4 s[$$If!vh51,#v1,:V>s t51,/ 4 sDSText11=Enter the Office / Division / Section / Unit of the requester[$$If!vh51,#v1,:V>s t51,/ 4 s$$If!vh5;5 5R #v;#v #vR :V>s t5;5 5R / 4 sD!Text12Enter the contact nameD 000$Enter the Contact Person's Area CodeD CoPhoneNumber2Enter the 7 digit phone number (Example: 373-1234)D,Text13(Enter the Contact Person's email address$$If!vh5;5 5R #v;#v #vR :V>s t5;5 5R / 4 s$$If!vh5{5559#v{#v#v#v9:V>s t5{5559/ 4 sD Text14Enter the vehicle numberD Text15Enter the vehicle typeD&Text16Enter the Vehicle locationDText17Enter the county.$$If!vh5{5559#v{#v#v#v9:V>s t5{5559/ 4 s$$If!vh5{5559#v{#v#v#v9:V>s t5{5559/ / 4 s~$$If!vh51,#v1,:V>s   t 51,/ 4 sp [$$If!vh51,#v1,:V>s t51,/ 4 sDe"Check if Conventional Radio repairDeCheck if MPSCS radio repairDe$Check if mobile data computer repairDe#Check if vehicular repeater repair.-$$If!vh55~ 55 55559#v#v~ #v#v #v#v#v#v9:V>s t55~ 55 55559/ / / / / 4 sDeCheck10%Check if Conventional Radio transmit.DeCheck if MPSCS Radio Transmit.DeCheck7Check if AVL repair.C$$If!v h555552 5555 9#v#v#v#v#v2 #v#v#v#v 9:V>s t555552 5555 9/ / / / /  4 skd$$Ifs v8 !#+2 9 t0$$$$44 saDe$Check if Conventional Radio receive.DeCheck if MPSCS Radio Receive.DeCheck8Check if PMCD repair.$$If!vh555552 55#v#v#v#v#v2 #v#v:V>s t555552 55/ / / / / 4 sDe%Check if Conventional Radio portable.DeCheck if MPSCS Radio Portable.DeCheck9Check if WIM repair.$$If!vh555552 55#v#v#v#v#v2 #v#v:V>sb t555552 55/ / / / / 4 sDe#Check if Conventional Radio mobile.DeCheck if MPSCS Radio Mobile.$$If!vh555552 55#v#v#v#v#v2 #v#v:V>sb t555552 55/ / / / / 4 sDe$Check if Conventional Radio antenna.DeCheck if MPSCS Radio Antenna.$$If!vh555552 55#v#v#v#v#v2 #v#v:V>sb t555552 55/ / / / / 4 sDeCheck if Siren.DeCheck if MPSCS Radio Siren.$$If!vh555552 55#v#v#v#v#v2 #v#v:V>sb t555552 55/ / / / / 4 sDe$Check if Conventional Radio Speaker.DeCheck if MPSCS Radio Speaker.$$If!vh555552 55#v#v#v#v#v2 #v#v:V>sb t555552 55/ / / / / 4 s$$If!vh5555%#v#v#v%:V>sb t555%/ / / / / 4 s$$If!vh5 555o#v #v#v#vo:V>sb t5 555o/ / / / / 4 s_$$If!vh51,#v1,:V>sb t51,/ 4 sDeCheck4"Check if MSP Post call box repair.De2Check if miscellaneous repair of dispatch console.De,Check if miscellaneous repair of Dictaphone.$$If!vh5558 55 55 #v#v#v8 #v#v #v#v :V>sb t5558 55 55 / / / / / 4 sDeCheck if repair of recorder.$$If!vh55555 55#v#v#v#v#v #v#v:V>sb t55555 55/ / / / / 4 sDeCheck if repair radio traffic.$$If!vh55555 55#v#v#v#v#v #v#v:V>sb t55555 55/ / / / / 4 sDe"Check if repair telephone traffic.$$If!vh55555#v#v#v#v#v:V>sb t55555/ / / / / 4 sDeCheck if repair of playback.$$If!vh55555#v#v#v#v#v:V>sb t55555/ / / / / 4 sDeCheck if repair of archive.$$If!vh55555#v#v#v#v#v:V>sb t55555/ / / / / 4 sDeCheck6&Check if miscellaneous repair is other$$If!vh55H)#v#vH):V>sb t55H)/ / / / / 4 sD3Explain if miscellaneous repair is checked as other$$If!vh55)#v#v):V>s t55)/ / / / / 4 sm$$If!vh51,#v1,:V>sb t51,/ / 4 s_$$If!vh51,#v1,:V>sb t51,/ 4 sm$$If!vh5+,#v+,:V>s t5+,/ / 4 sp$$If!vh5+,#v+,:V>s   t YYY5+,4 sp YYYq$$If!vh5#56#v##v6:V>s t5#56/ 4 sD,Text5"MPSCS Use Only - 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Ԫ֪02FHVZjWhijUj5WhijUjhijUmHnHujVhijUhijjhijU/ =!"#$%CompObjcjITEMROW7Enter the sequential number for the item being entered.D Text126Optional for agency staff. If known, please enter it.D Text13CEnter the number needed. For services, this number could be hours.DText14PEnter the unit of measure for commodity amounts i.e., ea., hrs., bx., case, etc.DText15?Enter a brief description of the item and options you may need.DIText16:Enter the unit price of the item being requested if known.AddItemD+ Text17=text13*text16'Enter the sum of Quantity X Unit Price.D$$Ifl!vh5v5T55*555#vv#vT#v#v*#v#v#v:V l05v5T55*555/  / / / / 4aDAddress1 UppercasedEnter the Addressee's mail address (street address, PO Box, etc., where the mail will be delivered). ClientCityD  SuperAreaCode000 Enter the Supervisor's Area CodeSuperPhoneNumberD ClientCity UppercaseEnter the Addressee's City. 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