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Broken Ethernet Jack Report Form

Before submitting this form, be sure that you have followed the jack problem descriptions and have confirmed that your ethernet jack is not working.

Full name:
Status:

Type of Problem
Username/UNI:
Best phone number to reach you:
Building:
Room:
Room type:
Jack Number(s):

This form cannot be processed without a jack number. Put "none" if there are none.


I am using this operating system:
Availability for an in-room testing for the next week:
Please note here if you are missing a face plate or if there is exposed wiring:
Other comments:
Click here to submit this form
Click here to clear your entries