MultiCare Printing Supplies Request

To request printer supplies/toner or to recycle toner cartridges, please fill out the form below.
If you need printer service or repair, please contact the IS Service Desk at 253-403-1160 and reference the new FlexPrint Printer ID# with a description of the service request.

MultiCare Health System

Date
MM slash DD slash YYYY
Company Name*
Choose Hospital Location*
- Tacoma General Hospital
- Mary Bridge Children’s Hospital and Health Center
- Allenmore Hospital
- Auburn Medical Center
- Good Samaritan Hospital
- Other
Department*
Mail Stop*
Address (If not Listed Above)*
Street Address Address Line 2 City State ZIP Code
Contact Name*
Phone Number*
Email Address*
Type of Service Requested*
- Request Printer Supplies
- Recycle Toner
FlexPrint Equipment ID(s)*

If you do not have a FlexPrint Printer ID#, please enter NONE, and fill out the printer make and model below.
Type of Toner Requested

Cyan, Magenta, Yellow, and/or Black
Comments (ie: Part Description)
Equipment Make & Model

Please provide Equipment make & model if you do not have a FlexPrint Printer ID#.
Recycle Toner
Special Note: When requesting a PREPAID shipping label to recycle your toner/ink cartridges, you may notice a different name and telephone number populating in the “Sent From” section of the form than what you filled in. This is occurring because there are multiple names and numbers tied to the same address. We are aware of the problem, and are in the process of fixing the glitch. In the meantime, please disregard the auto populated name and number. Your empty cartridges will still be sent to the appropriate place for proper recycling.
To request service on an imaging device, please contact the IS Service Desk at 253-403-1160 and reference the new FlexPrint Printer ID# with a description of the service request.
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MultiCare Health System

Recycle Toner