Technology Problem Report Form

Updated October 22, 2012


Date:

Time:

Your Name:

Problem is with:
a computer a barcode scanner a software program
a monitor a flatbed scanner a database
a printer other hardware  
Located Where?
CCPL Staff CCPL Public WBL
Administration Computer Lab WBL - Staff
Children's Game Computers - Kids WBL - Public
Circulation Internet - Adult  
Extension Internet - Kids  
Reference Internet - Juniors  
Staff Workroom Internet - Teens  
Tech Services PACs  
Young Adult    
Specific Hardware / Software:

CCPL Tag # OR Serial #:
Both can be found on a white sticker placed on the top or side of the equipment.

 

Example:
property tag

Tag#

Serial #

Priority:




What exactly is the problem?
When did the problem start?
Has it worked before? If so, when was the last time it worked?

,

What has changed since it worked?
Did you get any error messages? What were they?

What other programs were open?

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Thank you :)

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