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 database is the client trying to log to: 
What Object/Action is being performed (e.g. Accounts Payable/Save As)? 
What language is being used in CDFS (English or French)? 
Is the action being performed using the Web Version (via URL) or Standard Version (blue screens)? 
If using the Web Version: 
What Operating System and Language is being used (e.g. Windows 2000 English)? 
What Browser, Version and Language are being used (e.g. Internet Explorer - Firefox?) 

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