Escalate to CAREPBM - First screen

Agent U sername*

Required, hidden field which will be filled by API call to get Jira Cloud customer ID

Issue Type*

After submitting, page should go to a second screen based off the issue type selected

This site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.

Thank you! Your message was sent successfully.

Second screen - Issue Type: Non-Digital

Agent U sername*

Required, hidden field which will be filled by API call to get Jira Cloud customer ID

Issue Type*

Fields below should be displayed for Issue Type: Non-Digital

Subject*

What Went Wrong?*

Customer Email Address*

Customer Locale*

Order ID

Document ID

This site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.

Thank you! Your message was sent successfully.

Agent U sername*

Required, hidden field which will be filled by API call to get Jira Cloud customer ID

Fields below should be displayed for Issue Type: Digital*

Subject*

What Went Wrong?*

Customer Email Address*

Customer Locale*

Domain Name

This site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.

Thank you! Your message was sent successfully.

Agent U sername*

Required, hidden field which will be filled by API call to get Jira Cloud customer ID

Issue Type*

Fields below should be displayed for Issue Type: Face Mask

Subject*

What Went Wrong?*

Customer Email Address*

Customer Locale*

Order ID

Document ID

Domain Name

This site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.

Thank you! Your message was sent successfully.

Issue Key	Created Date	Status	Issue Type	Subject	Reporter
some text	some text	some text	some text	some text	some text
some text	some text	some text	some text	some text	some text
some text	some text	some text	some text	some text	some text
some text	some text	some text	some text	some text	some text