INTERACTIVE VIDEO TROUBLE REPORT
PLEASE FAX THIS COMPLETED FORM
TO 208 769-3242
Facilitator's
Name: ________________________________
Date/Time:______________
Class:___________ Your Room/Location: _____________________________________
Other
site(s) involved in conference: __________________________________________
Video:
Other; please
specify______________________________________________
_______________________________________________________________________
Audio:
Other; please
specify_______________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
FOR OFFICE USE
ONLY
How
was this problem resolved?
_____________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
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