Home \ Portal Feedback Portal Feedback Portal Feedback Portal Feedback Name* First Last Your Email* What type of feedback is this?* Defect Feature Improvement What Section of the Portal Is This Related To?Please select applicable sectionBrokerBrokerageComplaintsServicePortal SupportApplicationsRenewalsOtherSeverity of the Defect*Please select the applicable severitySeverity 1 – Cannot Do Your Job Without ThisSeverity 2 – Work around needed to do your jobSeverity 3 – Nice to haveHiddenSeverity Rating*Please select the applicable severitySeverity 1 – Cannot Do Your Job Without ThisSeverity 2 – Work around needed to do your jobSeverity 3 – Nice to haveDefect Title* Feature Subject* What device are you using?*Please choose the applicable deviceDesktopLaptopTablet (e.g. iPad)Mobile (e.g. smartphone)What is the Operating System of the device?*Please choose the operating system of the deviceWindowsAndroidiOSOtherWhere were you working from when the issue arose?*Please confirm where you were workingHomeDowntown OfficeOther / Not MentionedDetails of the Defect*Details of the Feature Improvement*Please provide Supporting Attachment(s) such as a screenshot if possible Drop files here or Select files Max. file size: 256 MB. HiddenStatusNot Started / PendingIn ProgressCompletedHiddenCompletion Date MM slash DD slash YYYY HiddenTime* Hours : Minutes AM PM AM/PM
