FSUID First Name Last Name Email Address Phone Date/Time of Occurrence Date/Time of Occurrence: Date Date/Time of Occurrence: Time Copier or Printer? - Please Select -CopierPrinter Copier ID Printer ID Printer Type - Please Select -ColorBlack & White Copier Location - Please Select -Career Center B&W (DSC-1200)Dirac Basement B&W (DSL)Dirac Basement Color (DSL)Engineering 1st Floor B&W (CE1-A149)Engineering 2nd Floor B&W (CE1-A225)Law Library B&W (LAW-L206)Law Library Color (LAW-L206)Music Library 1st Floor B&W (HMU)Music Library 2nd FloorB&W (HMU)Music Library Color (HMU)Shores Library B&W (LSB)Stone B&W (STB-1301)Strozier 2nd Floor B&W (LIB)Strozier 2nd Floor Color (LIB)Strozier Basement B&W (LIB)William Johnston Art History B&W (WJB-2020) Document Type Document Origin? - Please Select -LocalOnline Workstation Information? Refund Needed? - Please Select -YesNoResolved at Library How Much? $ Please Describe Problem/Issue Entered By (initials)
