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Please complete this form to the best of your
knowledge.
Asking someone to log in with a
different username to reproduce the problem is a
significant help. |
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General Information |
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Full Name:
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Date: |
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Username:
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Time: |
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Facility: |
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Problem Information |
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System Information |
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Problem Area: |
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Computer: |
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Problem Type: |
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Operating System: |
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Error Message (if available): |
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Browser Version: |
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delay time (if applicable): |
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Does the error occur when
a different user logs in: |
Yes
No |
Does this problem occur
repeatedly or just once: |
Yes
No |
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Notes |
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submit trouble ticket: |
