Name: *


LMG *


Username (used for logging into network) *


Date and time of Incident *


Name of any witness


How did the incident happen? *


Was the laptop in its case at time of incident? *
Yes
No

Have you backed up your data? *
Yes
No

Was there any food or drink around the computer? *
Yes
No

Is the computer casing damaged? *
Yes
No

Were you using the laptop at the time? *
Yes
No

Did you drop the laptop? *
Yes
No

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