Computer Lab Problem Reporting Form

Use this form to report computer lab problems to CIS.

Please click to print this "Out of Order" notice and place on the problem device.

What kind of device is having a problem?

Computer Printer Scanner

Select Computer Lab Location (If not listed, enter information in the "other" field).

(Required)   Other:

Select Computer Number (If not listed or a PRINTER, enter information in the "other" field).

(Required)   Other:

Enter brief description of the problem in the space provided below: (Required)

Who is reporting this problem:

Name (Required)
University or NetID E-mail Optional
Telephone Optional

    Please type RED in the box to verify this is not SPAM.

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Revised: 02/27/13.