Technology Problem Submission
Directions: Answer the following. Please give as many details as you can.
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| *Date: |
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| *Name: |
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| *Room Number: |
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| Equipment: |
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| Brand |
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| Model: |
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| Property Control #: |
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| Describe the problem: |
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| Internet Issues: |
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| Does this problem exist on more than one computer? |
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| If "Yes" - Please Explain |
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| Novell Issues: |
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| Describe the Problem: |
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| Email Issues: |
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| Describe the Problem: |
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* Indicates required fields |
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