ACADEMIC TECHNOLOGIES

Lab Problem Report Form

Use this page to report the problem you are encountering in the Computer Lab.

 

Lab Location If "Other" location please enter it

Student name

Student's email

Phone number

Is this a Computer Problem?

If yes, enter number from label on monitor (ex = LCC07) 

What is the symptom?

Is this a Printer Problem?

If yes, what is the Printer Location or Printer Name? If "Other" location/name please enter it

What is the symptom?

If you need to, please give a detailed description of the problem in the box below:

    

 
  Click here to send this form


  Click here to clear your entries.