Network Outage Incident Report
Please provide detailed information about the network outage to assist with incident triage and resolution.
Incident Title
*
Date and Time of Outage
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Outage (e.g., building, floor, department)
*
Systems or Services Affected
*
Internet Access
Email Service
Internal Network Drives
VoIP Phones
Other
How many users are affected?
*
Please Select
1-5
6-20
21-100
More than 100
Unknown
Severity Level
*
Critical - Business halted
High - Major disruption
Medium - Partial disruption
Low - Minor impact
Description of the Outage
*
Troubleshooting Steps Taken
*
Current Status
*
Resolved
Ongoing
Escalated
Your Name and Contact Information
*
Submit Incident Report
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