IT Documents & Forms (Including Problem Report Form) - Problem Report Form

Problem Report Form

Instructional Technology
Docs & Forms
Problem Report Form

Problem Report Form

Friday, July 30, 2010


Please complete this handy form to report computer related problems. Problems are usually addressed in the order they are received and you should be contacted within one school day.

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Items denoted with a red asterisk * are required.

* Submitted by

First / Last

* Room Number

* Phone Extention

* Email Contact

* Type of Hardware

If other, please detail

* Type of Problem

Hardware problem
Software problem
Login errors
Internet connection problems
Printing problems
Blue screen errors
Freeze ups
Wireless connectivity issues
System won't turn ON
System won't turn OFF
Other

Check all that apply

If other, please detail

Error Message

Please provide the error message seen on the screen if applicable.

Description of Problem

Please enter the text to the left

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