BSOD Error Report Form
Report a blue screen crash and provide the key details needed for troubleshooting.
Incident Details
Date and time of BSOD
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Affected device or asset tag
*
Windows version/build
BSOD stop code or error message
*
Incident frequency
*
One-time
Repeated
Ongoing
Crash Context and Symptoms
What were you doing when the blue screen occurred?
Application or process open at the time
Recent changes before the crash
Windows update
Driver installation or update
Hardware change or upgrade
New software installed
Security software change
System setting change
No recent changes
Other
System behavior after the crash
*
Restarted automatically
Stayed on BSOD
Not sure
Impact and Follow-up
BSOD Photo or Screenshot
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Data or Work Loss
*
No
Unsaved work lost
File/data loss
Not sure
Additional Notes for Troubleshooting
Submit Report
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