First Name Last Name

P.C. Number (i.e. 215-1-285)

Classroom Number

Request: Click One Problem Install Move Click One With P.C. With Software Program Program Asks For CD With Printing With Internet With Attendance Form With Report Cards With Logging In New Software New Hardware Computer Table Computer Printer

If software problem, what
is the name of the program:

Please indicate the frequency
of the problem (if applicable): Click One Once More Than Once Frequently

Time of day problem occurred:

Please write down any error codes your computer
generated (if applicable or possible)

Comments