Reporter Name: 
Reporter Phone: 
Reporter Dept: 
Reporter Email: 
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: 

Is the client's LAN functioning correctly? YES/NO

Was the client's workstation rebooted? YES/NO

What application function is the user attempting to use? SPS - Priority Payments

Date and time of actual failure?

User's browser and version?

Was it working before?

What error message is being received?

Where is the user located?

Department number:

Department name:

Userid:

Payment Reference Number (PRN):



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Foundation: NONE
System: MVS1
Application: SPS
Incident Type: APL
Business Priority: 4
Plant Priority: 4
Current Priority: 4
Assignee Group: GDSPSBM