Report a Fault Form
 Use this form to report a fault with any ICT supported products or services.   
 

NOTE:  All fields that have an * beside them must be completed, otherwise the form will not submit.
 
* First Name
* Last Name
* Work Phone
* E-mail EG (name@usq.edu.au)
 
* Staff ID Please make sure your staff ID number is correct as we use this to log and track this request
  The staff ID number must be 6 digits without letters. EG 1234 to be entered as 001234

*Department/Faculty:
 
(If other please provide further information)
Additional Contact Information: Please provide additional contact information if different than above. EG Room, Extension or Mobile Number, Best Hours of contact (M, W, F 10:30am 2:00pm).
   

Nature of Fault or Problem
Please be as specific as possible *

ICT Bar Code Number:
 
*Operating System  
   
*Fault Type   
*Fault Description:
 		  (Please provide detailed information of the nature of the problem. If you are having a problem with a printer please provide its' location)