Reporter Name: 
Reporter Phone: 
Reporter Dept: 
Location: 
System: 
Workstation's O/S: 
User ID: 
Number of users affected: 
Is the issue affecting multiple users for either BES or EMAIL issue? Y/N
	If Yes - Request emails of some of the affected users (3-5) in order to assist SSC with Troubleshooting
	If not provided, will affected user list be provided at a later time? Y/N
Possible impact on deadlines if applicable: 
Error message: 
Problem description: 
What Troubleshooting has been done on the client's side: 

Name of End User: 
Phone Number of End User: 
Email address of End User: 
Name of Help Desk Agent: 
Phone Number of Help Desk Agent: 
Email address of Help Desk Agent: 
DN within the MyKey certificate: 
Ticket Number: 
Department: 
Summary of Situation: 
What is the problem being experienced? 
Has it worked successfully before? YES/NO   If YES, when was the last time? 
What page was the user on? 
Any Error codes available? 
TID #: 
What troubleshooting steps were done? 
Deleted cache, cookies, browser history:  YES/NO
URL address: 
MyKEY Recovered? YES/NO
