Vending Machine Service Request

NOTE: Only use this form for reporting mechanical problems on a specific vending machine. Please consult your hall desk for all refund inquiries.
Someone from the Information System Staff will respond as soon as possible. All fields require input, except the vending machine's index number.

Vending Location:
Index Number of Machine:
Machine Type:
Problem Type:
Transaction Type: Cash UT ID Card
Subject Title:
Problem Description: (please include any error messages you are receiving):

Name:
Email:
Phone:
I am not a Robot!: