Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Election Jurisdiction {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
In what election cycle(s) did the problem occur? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
On what date did the problem first occur? (Optional) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
What is the name of your vendor? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
When was your envelope design last reviewed by a USPS Mailpiece Design Analyst? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Please provide a description of the issue: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Do you have an example of the mailpiece? Please include images of the front and back of the envelope, as well as any other relevant documentation or data files {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Did you notice any pattern/similarity in the mail that was affected? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Have you contacted anyone at the USPS about this issue? If so, who did you contact? What was the response? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Is there anything else you think we should know? Do you have a recommeded "best practice" or an idea that might have prevented this issue? (Optional) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }