PCR _helpdesk_ form by nuhman10


									Program Change Request (PCR) Form
PEMS users who experience errors when using PEMS will use this form to report the errors to the PEMS Help Desk.
Please email this form to the PEMS Help Desk (pemshelpdesk@cdc.gov) with screenshots of the error captured and pasted
at the end of this form.

     Information to Capture                           Example of Information Captured

    Description of error
    (one line about the error)

    Environment                         Production

    User ID, User name,
    phone number, email

    Agency name

    Name of page on which
    error occurs

    Actions leading to error
    (please include detailed

    Data entered on page
    that error occurred
    (screenshot preferred)

91f55dec-ab67-4bf9-8310-6cbc47bc3f9e.doc                                                                       1 of 2
     Information to Capture                Example of Information Captured

    Exact error message
    (screenshot preferred)

    Can you duplicate the

Please copy and paste the screenshot of the error below.

91f55dec-ab67-4bf9-8310-6cbc47bc3f9e.doc                                     2 of 2

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