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Student Trouble Ticket

Please complete the form below. Required fields marked with an asterisk *

Student Trouble Ticket

Tech Room Work Order/Loaner Form

Submitted by*

[Enter Name Here]

Answer Required

Enter Today's Date*

Answer Required

Computer Login*

[example 20filleyc]

Answer Required

Computer Password*

Answer Required

Computer Serial Number*

[This is engraved on the bottom of your computer. Example 4G49ZZ2]

Answer Required

Computer Fixed Asset Tag #*

[This is generally listed on the cover as HS-STU-1234. We only need the numbers, example 1234]

Answer Required

Type of Problem*

[select all that apply, examine your machine carefully]

Answer Required

Laptop Screen - Is it cracked, broken, or scratched?

Screen Back - Is it broken, dented, or cracked?

Upper Keyboard Area - Is it cracked, broken, or corners busted?

Keyboard - Do keys stick, are keys missing?

Bottom of Laptop - Is it cracked broken, or corners busted?

Mouse trackpad - Does it not glide smoothly, no mouse showing on computer, buttons broken?

Touch Screen - Does your touch screen not work properly?

Charger - Is your charger missing or damaged?

Other:

In the box below, please type comments about issues that you would like to add, and what happened (to the best of your knowledge).*

Answer Required