Impacct Issues Report

Impacct Issues Report
Problem With
Screenshot of issue

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Name of Form
Other Form
Other Software
What error message did you get, if any?
Device you were using
Were you using the app?
Were you using the terminal set up on a wired internet connection?
What were you using?
- Phone you were using
  ex: Iphone 5s etc
- Browser
- Browser Version
- Operating System Version
  Ex: IOS9, Windows 10.1, not sure, etc
- What were you trying to do when this happened?
- Notes, Additional Discription
- Your E-mail