Mobile App Issue Form used to enter specific user data/experience to pass to FIS for resolution Name(Required) First Last User IDIs a description needed? Last 4 digits of SSN CIS/RMS #(Required) Mobile Phone #Mobile Device Make Android iPhone Other OtherIf other, describe Mobile Device Model Mobile Device OSOperating System OS Version Mode(App, WAP, SMS) App Version Date of Issue(Required)Date issue occurred (not current date) MM slash DD slash YYYY Time of Issue(Required)Time issue occurred (not current time) Hours : Minutes AM PM AM/PM Time Zone EST CST MST PST Type of error message(Required)Describe the error message as best you can or attach a screenshot or other supporting material. FileMax. file size: 200 MB.Description of Issue(Required)Steps user was taking when error occurred, has the issue happened prior to reportingHave steps been taken to correct? Yes No Δ
