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Problem Report Form

Complete this form to report a problem to the Help Desk. Fields marked with * are required.

* First Name:
*Last Name:
* Email:
* Classification:
*Department:
* Building:
* Room Number:
* Phone Number:
   
Platform:
 
Problem Type:
  Install Software Software Problems Hardware Problems
  E-mail Network Internet/WWW
  PPP Virus Password
  Other:
   
Problem Details:
  What software were you using? (Enter NONE if it is not a software problem.)
 
   
  What error message did you receive?
 
   
  Please type a descriptive statement about the problem.
 
 
 

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