Customer Name:*

Telephone:*

Client Build No.:

SQL Service Pack:

Are you submitting
details by fax?

Database Type Where
Problem Occurs:

Submitted By:*

Dynamics NAV version:*
Please Select 4.0 SP3 5.0 5.0 SP1 2009 Don't Know

Granule/Function Area:*
Please Select Bank Account Management Custom Modification Database & Platform Development Tools Dimensions Direct Store Delivery Distribution E-Ship EDI Employee Portal Fixed Assets General Ledger Human Resources Integration Installation Inventory Item Charges Jet Reports Jobs License Logistics Planning Manufacturing Miniforms Mobile Multi-currency Order Processing Pallet Licensing Payroll Preventative Maintenance Purchases & Payables Quality Management Rebates Relationship Management Resources Sales & Receivables Sales Tax Security Service Management Sharepoint Targit Warehouse Management Web Services Don't Know

Severity - Please check
Applicable severity level:

Email Address:*

Database Platform:*
Please Select Standalone Native Server SQL 2000 SQL 2005 SQL 2008 Don't Know

Server Operating System:*
Please Select Windows Server 2003 Windows SBS 2000 Windows SBS 2003 Windows 2003 SP1 Windows XP Windows XP SP1 Windows XP SP2 Windows Vista Windows Server 2008 Windows NT Windows 2000 Windows ME Windows 98 Windows 95 Other Don't Know

No. of Users Affected:
Please Select 1 2-10 11-20 21-30 31-40 41-50 50+

The Problem Occurs on
How Many Machines:

Attach File: