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Dorm Jack Repair Request

NOTE: required fields are prefixed with an asterisk (*)

Personal Information
Jack Information
Troubleshooting Information
*Have you registered the system connected to this jack in FAStAccess?
*Have you swapped out the ethernet cable connected to this jack with a known working cable?
*Do any other systems work on this jack?
*Does your system work on any other known working jack?
*Is there obvious physical damage to the jack?