Form Center

2. Staff member submitting ticket*
4. Which Room?*
   -- Select One --City Hall Rm 111City Hall Rm 219City Hall Rm 326Other
6. Video Trouble (check all that apply)

   1. Blue screen
   2. Black screen
   3. Green screen
   4. "Snow"
   5. Windows desktop without icons
   6. Video intermittently appears, followed by black
   7. One screen
   8. All screens
8. Which screen(s)?
10. Audio Trouble (check all that apply)

    1. Audio hiss
    2. Microphones cutting in and out
    3. No audio from device
12. Which audio device?
14. Control Trouble (check all that apply)

    1. Control system does not respond
    2. Control system slow to respond
    3. Part of the control system does not respond
16. Which part of the control system does not respond?
18. Additional information
    Please provide any additional details such as which staff member was having trouble, what they were doing when the trouble happened, and did the trouble clear up during the event.
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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field