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Friday, September 10, 2010

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Incident Report

Please use this form to submit a PremiumBill Incident Report.

Product*
PremiumBill
PremiumBill Integration

Company Name:*

Contact Name:*

Contact Phone Number:

Contact Email:

Environment:
Test
Production

PremiumBill Version:*

Priority:*
Priority 1 - Normal processing down (Production down).
Priority 1 - Normal processing severly interrupted.
Priority 2 - Normal processing interrupted, but still operational.
Priority 3 - Low Impact to perations or single policy affected.

Short Description:*

Document exact steps taken to reproduce:*

Business Impact:*

Attachment: (zip multiple attachments into a single file before uploading)

File Size: 1000KB Maximum
File Types: .jpg .jpeg .jpe .gif .bmp .doc .xls .txt .xsl .zip

* Required