The majority of all organizations are small and middle size companies in Lithuania. Information technologies are one of the most important parts of enterprise even if IT is not core business. It’s needed to support company’s information systems in order to achieve high effectiveness of IT. The goal of this work is to propose IT support recommendations orientated to small and middle size Lithuanian companies. The recommendations are based on ITIL, CobiT and quality management standard ISO 9001:2000. This work presents support stages and required software for collecting and storing needed information and monitoring the system’s performance. This software can perform described tasks with minimum consumption of resources. Proposed recommendations are not related to core business and organization’s IT. They can be applied by organizations with support they IT by themselves and by IT support outsourcing companies.