EMU Cable Issue Submission Form
(UponcompletingthisforminAcrobatReader,click“File”andsave.ThenattachthesavedPDFinan
emailtocenhrt_bulkmdu@cable.comcast.com)
YourName:
_________________________________________________
PhoneNumber:
______________________________
ResidenceHall/ApartmentComplexName:
______________________________
Room/UnitNumber
______________________________
Pleasedescribetheissue,includingdetailsaboutwhatstepsyou’vetakentotro ubleshoot
CableTV Issues
Issue relatedtoInternetserviceonly? Leavethis sectionblank, but continue to the "Internet Issues."
CableBoxSerialNumber(CornellCourts,TheVillage,andWestviewonly—serialfoundonwhitestickon
cablebox.Pleaseincludefullnumber):
___________________________________________________
Whatisyourtelevisionbrandandapproximateage:
___________________________________________________
InternetIssues
Ifyourissueisrelatedtocabletvserviceonly,leavethissectionblank
Modem/RouterSerialNumber(Cornell&Westviewonly—serialonwhitesticker):
_____________________________________________________