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MD-IA Infrastructure Services

MD-IA Infrastructure Services Issue Report

* Indicates required information
Issue Number: * 
Issue description:  * 
Ministry Organization (MO) * 
Specific Location:  * 
Specific Impact to Users and
No. of Users Involved  * 
Issue Date: *  (mm/dd/yyyy)
Start Time:  * 
End Date  (mm/dd/yyyy)
End Time:  
Vendor 

If Other, please specify:

Vendor Ticket Number 
RCA Required? * 
Resolution:  * 
Next Steps:  
Action Required to Prevent
Future Occurence:  * 
Associate:  * 
Associate E-Mail * 
Authentication * 

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 Mercy Medical Center-North Iowa | 1000 4th Street SW Mason City, IA 50401 | 641-428-7000

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