Reporter Name: 
Reporter Phone: 
Reporter Dept: 
Reporter Email: 
Affected End User Name:
Affected End User Phone Number:
Affected End User ID:

Dept.:
Location:  
	- Building:
	- Floor:
	- Room:

System:
Workstation's O/S:
Possible impact on deadlines if applicable: 
Error message: 
Problem description:
Has troubleshooting been attempted by the End User, Partner Service Desk or any other support team?  If Yes provide a brief description, If No simply state N/A.

Which system / application was the job submitted (MVS1, MVS2...) on.
Userid
Job number
Job name

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