Development Request Form Your First Name(Required) Your Last Name(Required) Your Email(Required) What type of request is this?(Required) Bug Enhancement to Current Feature New Component New Contact Form For Bug Requests:What component are you reporting a bug?(Required)- please select -TextMediaButton GroupAnswers HubQuote BoxLocationsFlex Call to ActionProfilesFlex Media & TextMedia CarouselPubMed FeedFlex Video GalleryWhat page template are you reporting a bug?(Required)- Please select -100 WidthBCH Child PageClinical CenterClinical DepartmentClinical ProgramClinical TrialConditionGeneric Landing PagePartner PartnerPartner HomeResearch CenterResearch DepartmentResearch DivisionResearch LabResearch ProgramStaff ProfileTreatmentHave you tested the issue on other templates?(Required) Yes No What device are you seeing the issue on?(Required) Desktop Tablet Mobile What device or setting?(Required) What browser are you seeing the issue on?(Required)If you have only tried one browser, please attempt to duplicate the issue on others. Chrome FireFox Microsoft Edge Safari Opera What device are you using?(Required) PC Mac Mobile Device Is this a visual or behavioural bug?(Required) Behavioural Visual What is the expected behavior of the component/template?(Required)What is the actual behavior (bug)?(Required)Please upload a screen shot of the issue...(Required)Only use .jpg or .png filesAccepted file types: jpg, png, Max. file size: 64 MB.Please provide the steps to reproduce the bug:(Required)For enhancements to existing features:Is this an enhancement to an existing Component or Template?(Required) Component Template What component are you looking to enhance?(Required)- please select -TextMediaButton GroupAnswers HubQuote BoxLocationsFlex Call to ActionProfilesFlex Media & TextMedia CarouselPubMed FeedFlex Video GalleryWhat page template are you looking to enhance?(Required)- Please select -100 WidthBCH Child PageClinical CenterClinical DepartmentClinical ProgramClinical TrialConditionGeneric Landing PagePartner PartnerPartner HomeResearch CenterResearch DepartmentResearch DivisionResearch LabResearch ProgramStaff ProfileTreatmentIs someone other than you requesting this enhancement?(Required)(i.e. a marketing lead or a clinical partner) Yes No List who is requesting this enhancement:(Required)Add a line for each field needed on the form. It will be assume every field is required unless you indicate otherwise. Add RemoveWhat is the requested enhancement?(Required)Who will be responsible for testing the completion of this feature?(Required) What is the level of urgency?(Required) High -- ASAP Medium -- within 4 sprints Low -- within a quarter or longer For New Components:Is someone other than you requesting this new component?(Required)(i.e. a marketing lead or a clinical partner) Yes No List who is requesting this enhancement:(Required) Add RemoveWhat is the desired functionality of this new component?(Required)Does this new component need to be incorporated into profiles?(Required) Yes No Who will be responsible for testing the completion of this new component?(Required) What is the level of urgency for this new component?(Required) High -- ASAP Medium -- within 4 sprints Low -- within a quarter or longer For New Contact FormPage the form will be added to:(Required) Form Name(Required) Email to send submissions to(Required) Subject line for the submission email(Required)Typically "Submission from Form Name" Fields in the form:(Required) Add RemoveConfirmation(Required) Message New Page Confirmation Message(Required)Include a Title such as "Thank you!" Include a Message such as "We will respond to your inquiry within the next 5 business days."URL of the Thank You page(Required)You will be responsible for the copy on the page CommentsThis field is for validation purposes and should be left unchanged. Δ
