Systems Trouble Sheet

You may submit this form two ways:

  1. Fill out the form and click submit.
  2. Print out the form, fill out the form and return to either David Nance (x4087) or Susan Johns Smith(x4115)

Submitter Information:

Name:
Email:

Authentication Troubleshooting:

Patron ID#:
Patron Name:
Patron Phone:
Patron Email Address:
Using Which Database?
Problem or Patron Description of Problem?

Equipment Information:

Axe Library:
KTC Library:
Axe Lab:
KTC Lab:
Axe Staff:
KTC Staff:

PC Name / Number:

Problem Description: