Problem summary form for single partition (Model 270 and 8xx)

Date and time that the problem occurred:	____/____/____ ___:___:___
Describe the problem:	_______________________

Message ID	Message text	From/send program	Instruction number	To/receive program	Instruction number
________	________	________	________	________	________
________	________	________	________	________	________
________	________	________	________	________	________

Record the mode.
Place a check on the lines below to indicate which lights on the panel are on. Refer to Control panel for the system units for a diagram of the control panel.
_____ Power On

_____ Processor Active/Activity

_____ System Attention
Go to the system control panel to find and record the value for functions 05, 11, 12, and 13. See Collect system reference codes for step-by-step instructions on finding System Reference Codes. Use the grid below to record the characters shown on the Function/Data display.
Set the same mode as recorded in step 1 of this form.

Comments: _____________________________________________________________________