General Assistance Request

Use this form to request general assistance with on-campus, computer-related technical issues. Please fill out the form completely and provide as much information as possible, including any surrounding circumstances.

CSS will send email to respond to this request.

Your information:

	Name:
	Department:
	Email:
	Phone number:	( ) -

Computer, date, time:

	Computer name:
	Operating system:
	Time and date of occurrence:
	Location of occurrence:

Please enter a detailed description of the issue below:

updated: 27 May 2006