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INSTRUCTIONS:  Please complete this form in its entirety (all fields must be completed in order to submit this form) and hit the "SUBMIT" button at the bottom of the form.  Use the "Tab" key or "Shift" key + "Tab" key to move through the fill-in-the-blank boxes.  Someone from the CCSI Support Team will contact you within the next 2 to 4 hours.  *Please note, if this form is submitted successfully, you will return to the CCSI Support page.  Thank You, The CCSI Support Team

 
 

PERTINENT INFO

   
  TYPE OF COMPUTER:  
  OPERATING SYSTEM:  
  HAVE YOU REBOOTED?
*To Reboot: Shut the computer down, turn off the power to the computer, wait 60 seconds, then turn on the power to the computer.
 
 
 
NOTE:  If you are answering "NO" to this question, please know that rebooting can often cure problems with your computer, and you will most likely be asked to reboot before troubleshooting can begin.
So please reboot and see if the problem still persists before completing this form.
 
       
 

USER INFO

   
       
  DATE:  
  TIME:  
  YOUR NAME:  
  LOGIN NAME (i.e.  jsmith):  
  PHONE # (w/extension):  
  EMAIL ADDRESS:  
  YOUR COMPANY:  
  COMPUTER LOCATION:  
  OFFICE:
(the office in which the computer with the problem is located, i.e. Room 323 )
 
       
 

DESCRIPTION OF PROBLEM

   
       
  PROBLEM:
(Please enter a complete description of your problem here.)
 
  PROGRAMS:
(Please enter what program or programs you were using when the problem occurred.)
 
  CAUSE:
(Please describe the exact steps that caused your problem.)
 

                                                             

 

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Last modified: 08/05/04

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