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Summary of Issue

Problem Severity

I need to

Name

Affiliation

NetID

Dept or College

Email

Phone

Cell Phone

Location

Building

Room

Date of Issue

Time of Issue

Which software tools?

Does this affect only 1 or all of your courses?

Course # and section #

Description of Issue

Is this a Rice-owned computer?

Computer Platform

Operating System

Wireless Connectivity

Wireless Issue | MAC Address

Wireless Issue | URL

Browser & Version

Does the port require...

Faceplate Information

Panel Letter or Letters

Jack Numbers

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