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Blackboard Student Online Support Form

Please fill out the following information on your problem for the University of Houston Blackboard Team. Submit this form online for the fastest resolution. The more information you supply, the more quickly your problem can be addressed.

Required fields are highlighted in red, but the more information you supply, the more quickly we will be able to solve your problem.

Please be sure to tell us the exact nature of your problem in the Problem Description at the bottom of this form.

Name:

First:

Middle:

Last:

Unique Identifier:
Your 7-digit PeopleSoft ID: (include any leading zeroes)
Your Cougarnet ID:
Contact Information: Please include an email address and a phone number. The phone number will only be used as a last resort.

Home phone:	Email address:
Work phone:

Course Information:
Campus where you are registered:

Course Department (such as MANA, BIOL):

Course Number (such as 1301):

Class Number: (a 5-digit number)

Instructor's Last Name:

Problem Information: What version of Blackboard are you having a problem with?
Blackboard Version:

What Blackboard feature are you having trouble with?

Course content	Assignments
Quiz	Email
Chat	Grades
Log on	Can't see courses
Audio	Video
Respondus Lockdown Browser

Specify the name of the item:
What web browser are you using?
What Operating System do you use?
Where are you connecting from?
When the problem occurred:
Select the date and time.
Date:

Time::

Problem Description: This is the most important part of this form. We need to know exactly what your problem is so we can fix it as quickly as possible. Please include any error message that you receive.