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Forms
Home / Information Technology / Forms

Forms have been collected for many departments by Information Technology to locate in one place. To access the forms, simply click on the header of the department you are interested in and the forms will be displayed below the header.

Human Resources

Tri-Care Enrollment Form

Information Technology

Network Account Form

Purchase Request Form

Technology Support Request

Maintenance

Duplication Request Form

Equipment Disposal Form

Equipment Loan Agreement

Maintenance Support Request

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Person County Campus
1715 College Drive
Roxboro, NC 27574
(336) 599-1181
Caswell County Campus
331 Piedmont Drive
Yanceyville, NC 27379
(336) 694-5707

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Piedmont Community College does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and activities. The following person has been designated to handle inquiries regarding the non-discrimination policies: Vice President, Administrative Services, P.O. Box 1197, Roxboro, NC 27573-1197, (336) 599-1181, ext. 2128. For further information on notice of non-discrimination, the OCR office for North Carolina is located at: Washington DC (Metro), Office for Civil Rights, U.S. Department of Education, 400 Maryland Avenue, SW, Washington, D.C. 20202-1475; Telephone Number: (202) 453-6020; e-mail: OCR.DC@ed.gov. Piedmont Community College is committed to making its websites accessible to all users, and welcomes comments or suggestions on access improvements. Please send comments or suggestions on accessibility to the web site administrator.
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