Computer Trouble Form

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Computer/Computer-Related Problems Report Form
(When completing this form, use the tab key to move to the next section.)

Today’s Date
Name of person reporting
Time of day problem occurred
Department/Service Unit
Site
Other site if not listed above
Specific location at site:
What device or program is having the problem?
Briefly and clearly, please describe the problem.
Please note any system error messages displayed. (To document error Messages, press print screen button, press start, press accessories, paint, edit, past, print yes and print out.)
Preferred contact
Email address

Comments / Questions