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Incident Report

It is very helpful if you provide as much information as you can. Thank you for taking the time to report this incident. We will keep you informed about the outcome of your report.

Automatically Obtained Information:

The following information about your operating environment was automatically obtained. This information will be submitted to C Prompt only when (and if) you press the [SUBMIT REPORT] button at the bottom of this form. This information is purely technical and does not contain anything private or anything stored on your hard disk.

 

IP Address
Raw URL Parameters
Java Status
Screen

Please describe the problem in detail:

It is important that we get as much background information as possible so that we can diagnose and repair the problem with the minimum amount of labor. It is critical that you provide:

  1. A clear description of the problem.
  2. It is very important to list the actions you performed leading up to the problem.
  3. Try to repeat the error and list the steps that are required to cause it. Repeatable errors are easier to fix.

Details about the Error:

Very Important: Did the system display an order number or transactionid code? If so, please enter it here.
Very Important: Did the system display an customer number? If so, please enter it here.
Very Important: When did the error occur? (MM/DD/YYYY Hours:Minutes) Accuracy will increase the odds of correcting this problem. If you cannot tell us when the problem occured, we may not be able to fix it. We need this information so we can review system audit records which are kept by time and date.

On the web page were you experience the problem, please copy the entire URL from the browser's URL entry field and paste it into this form.

Please use copy and paste, do not retype the URL into this form. It is possible that illegal invisible characters are embedded in the URL. If you retype the URL we will never know this.

Web Site URL:
Did the browser display an error message?... If it did please enter the message here.
Did a pop open box or dialog box open and display an error message? If it did please enter the message here.

Classification of the problem:

Did the entire page fail to load? Yes No
Did you see a broken link symbol or icon?... If there is a broken link please type or cut & paste the link text into this form.

Yes No
Did you see a grayed out square on the page like the illustration below? This can be caused by a Java applet which did not load.
Yes No
Did the page load very slowly?... If Yes, about how long did it take in seconds?

Load time in seconds
Yes No
Did the page lockup?... and if so what were you doing on the page when it locked up?

Yes No

Operating Environment:

What Browser are you using? (Microsoft, Netscape, etc.)
What is the version of your browser? (You can find the version number by Selecting [Help Menu] then the [About] submenu.
What operating system and version are you using? (Windows 2000, Windows XP, Windows Vista, Unix, Linix, etc.)
What is the service pack level of your operating system? (Service Pack 1 or SP1, Service Pack 2 or SP2, etc.)
Who is your ISP? (AOL, RoadRunner, ComCast, MSN, America On-Line, etc.)
What type of connection do you have? DSL, Cable, Satellite, T1, Modem (dialup), ISDN, etc.
What is your connection speed? (56K, 800K, 1.5M, etc.) KB/SEC
Do you, your company, or ISP have an addblocker or pop-up blocker running? If so please provide any details you can about the blocker (name, version, etc.)

Yes No
Do you, your company, or ISP have a firewall or proxy server running on this connection? If so please find out if this security device is blocking Java or JavaScript and provide any details you can about the firewall or proxy (name, version, etc.)

Yes No
Do you have JavaScript enabled in your browser? JavaScript is by default enabled in most OEM installed browsers.
Click here to find out more.
Yes No
Do you have Java enabled? Java is by default enabled in most OEM installed browsers.
Click here to find out more.
Yes No
Do you have cookies enabled? Cookies are by default in most browsers. You can check this by:
Click here to find out more.
Yes No

If more than one configuration item is checked please list all checked items:

Tell us how to get in touch with you:

Company  
Address  
City     
State       Zip
Country  
Name  
E-mail   
Tel      
FAX        

 

 

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