Subject
(required)
Request Type
(required)
Receipt Needed
Food Feedback
General Feedback
Equipment Issue
Market Card Issue
Refund Request
Product Request
Gift Card Request
Equipment Type
Coffee Equipment
Kiosk
Cooler
Freezer
Microwave
Ice Dispenser
Water Dispenser
Other
Location Number
(required)
Asset Number
Coffee Machine Issue Type
Cleanliness
Error Message
Only Water Dispensing
Not Filling
Quality / Poor Taste
Water Leaking
Other
Cooler / Freezer Issue Type
Locked
Door not Shutting
Lighting
Out of Temperature Range
Ice Dripping
Other
Peripheral
N/A
Barcode Scanner
Touchscreen
Credit Card Reader
Bill Acceptor
Printer
Fingerprint Reader
Other
Name Customfield
Name
(required)
Preferred Contact Method
(required)
Phone
Text
Email
Email
(required)
Phone Number
(required)
Refund Type
Paypal
Venmo
Market Card
Other
Method Used to Pay
Credit
Cash
N/A
Refund Amount
Paypal Email
Venmo Username
Market Card Number
Item Issue
Suggestion/Request
Barcode/Scan Issue
Past Expiration Date
Damaged Product
Poor Food Quality
Other
Item Category
Fresh Food
Refrigerated Snack
Dairy
Fruit Cup
Fresh Pastry
Chips
Candy
Cold Beverage
Coffee
Description
RSG Line of Business
Markets
OCS
Vending
All
RSG Division
Continental
CoinOP
Cuyahoga
FranklinServices
CanteenIndiana
SouthBendChesterton
Lebanon
TerreHaute
MuncieIndianapolisLafayette
CompanyKitchen
Point of Contact
E-mail
Phone Call
Text
QR Code
Website
What Denomination
Quantity
Date Needed
Attachment