PC Defects Reporting Form
Please use this form to report any defects or issues found with your PC. Complete all relevant fields to help us resolve the problem efficiently.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Your Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Report
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
PC Asset Tag or Serial Number
*
Location of the PC (e.g., Office, Lab, Department)
*
Department or User Assigned to the PC
Type of Defect
*
Please Select
Hardware Failure
Software Issue
Performance Problem
Display/Screen Issue
Peripheral Problem (Keyboard, Mouse, etc.)
Network/Connectivity Issue
Other
Please describe the defect in detail
*
Urgency Level
*
Low (Minor inconvenience)
Medium (Affects productivity)
High (PC unusable or critical function affected)
Have you tried any troubleshooting steps? If yes, please specify.
Upload photos or files related to the defect (optional)
Upload a File
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Additional comments or information (optional)
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