dwss-ptp.disney.com
Open in
urlscan Pro
34.224.138.146
Public Scan
URL:
https://dwss-ptp.disney.com/support/home
Submission: On May 20 via api from US — Scanned from DE
Submission: On May 20 via api from US — Scanned from DE
Form analysis 3 forms found in the DOM
POST /support/login
<form class="new_user_session" id="new_user_session" action="/support/login" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓"><input type="hidden" name="authenticity_token"
value="DUCC8u+gGbcG2WBuO3VBqdZo5qlEwLX5nz18aORwnOSRLmhzVbZMHTDeHjWgUIagb5o6Ru9PHzyfV+Cxe5NWIg==">
<fieldset>
<div class="control-group">
<div class="controls">
<input class="required special" id="user_session_email" name="user_session[email]" autofocus="true" placeholder="Your e-mail address" size="30" type="email" value="">
</div>
</div>
<div class="control-group">
<div class="controls">
<input class="special" id="user_session_password" name="user_session[password]" placeholder="Password" size="30" type="password" autocomplete="off">
</div>
</div>
<div class="control-group">
<div class="controls" title="You can uncheck this option if you're logging in from a shared device">
<label class="checkbox">
<input name="user_session[remember_me]" type="hidden" value="0"><input type="checkbox" value="1" checked="checked" name="user_session[remember_me]" id="user_session_remember_me"> Remember me on this computer </label>
</div>
</div>
<div class="control-group">
<a id="forgot_password" data-toggle-dom="#forgot-form, #login-form" href="">Forgot your password?</a>
<div class="controls">
<button type="submit" class="btn btn-primary btn-login"> Login </button>
</div>
</div>
<section class="freshid_login">
<div class="agent-login-link">
<i class="ficon-helpdesk_new agent-login-icon"></i>
<div class="link-content">
<span>Are you an agent? </span>
<a href="https://dwss-ptp.disney.com/agent/login">Login here</a>
</div>
</div>
<div class="customer-login-link">
<i class="ficon-helpdesk_new customer-login-icon"></i>
<div class="link-content">
<span> Are you a customer? </span>
<a href="https://dwss.freshworks.com/login/auth/1658360122003?client_id=451979510707337272&redirect_uri=https%3A%2F%2Fdwss-ptp.freshdesk.com%2Ffreshid%2Fcustomer_authorize_callback%3Fhd%3Ddwss-ptp.disney.com">Login here</a>
</div>
</div>
</section>
</fieldset>
<input type="hidden" name="meta[enterprise_enabled]" id="meta_enterprise_enabled" value="false">
</form>POST /password_resets
<form rel="validate" action="/password_resets" accept-charset="UTF-8" method="post" novalidate="novalidate"><input name="utf8" type="hidden" value="✓"><input type="hidden" name="authenticity_token"
value="/Ro9yo/rEnhwlLUdJ6rg+EMjG6JH4hXWweCypFxll5thdNdLNf1H0kaTy0a8jyfx+tHHTextvxPBii59w4ZdXQ==">
<fieldset>
<div class="control-group">
<div class="controls">
<input type="text" name="email" id="email" value="" class="email required special" placeholder="Your e-mail address" aria-required="true">
</div>
</div>
<br>
</fieldset>
<div class="control-group">
<button type="button" data-toggle-dom="#login-form, #forgot-form" class="btn"> Cancel </button>
<button type="submit" class="btn btn-primary pull-right"> Reset my password </button>
</div>
</form>POST /support/tickets
<form class="form-portal ticket-form" rel="validate" id="new_helpdesk_ticket" enctype="multipart/form-data" action="/support/tickets" accept-charset="UTF-8" method="post" novalidate="novalidate"><input name="utf8" type="hidden" value="✓"><input
type="hidden" name="authenticity_token" value="HRDWXncKEbMyQBTD6qXIZAgYGBYtQu15Td9tmMSmt0GBfjzfzRxEGQRHaphxgA9tserE+YbNR7xNtfFBW0V9hw==">
<div class="control-group ">
<label class=" required control-label requester-label " for="helpdesk_ticket_email" aria-required="true">Requester Email</label>
<div class="controls ">
<div class="row-fluid">
<input value="" class="span12 email required" placeholder="Email" data-remote="true" type="email" name="helpdesk_ticket[email]" id="helpdesk_ticket_email" aria-required="true">
<div id="name_field" class="default_name_field hide">
<input class="text span12 name_field" placeholder="Your Name" name="helpdesk_ticket[name]" type="text">
</div>
</div>
</div>
</div>
<div class="control-group ">
<label class=" required control-label cf_requester_contact_number_2211666-label " for="helpdesk_ticket_cf_requester_contact_number_2211666" aria-required="true">Requester Contact Number</label>
<div class="controls ">
<input class=" required text span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_requester_contact_number_2211666]" id="helpdesk_ticket_custom_field_cf_requester_contact_number_2211666" aria-required="true">
</div>
</div>
<div class="control-group ">
<label class=" control-label cf_hub_id_2211666-label " for="helpdesk_ticket_cf_hub_id_2211666">Hub (SAP ID)</label>
<div class="controls ">
<input class=" text span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_hub_id_2211666]" id="helpdesk_ticket_custom_field_cf_hub_id_2211666">
</div>
</div>
<div class="control-group ">
<label class=" required control-label subject-label " for="helpdesk_ticket_subject" aria-required="true">Subject</label>
<div class="controls ">
<input class=" required text span12" placeholder="" type="text" name="helpdesk_ticket[subject]" id="helpdesk_ticket_subject" aria-required="true">
</div>
</div>
<div class="control-group ">
<label class=" required control-label cf_area_of_concern_ptp_2211666-label " for="helpdesk_ticket_cf_area_of_concern_ptp_2211666" aria-required="true">Area of Concern</label>
<div class="controls ">
<select class=" required dropdown_blank dynamic_sections" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_area_of_concern_ptp_2211666]" id="helpdesk_ticket_custom_field_cf_area_of_concern_ptp_2211666" aria-required="true">
<option value="">...</option>
<option data-id="73000329149" value="Disney Supplier Management Portal/Vendor Maintenance">Disney Supplier Management Portal/Vendor Maintenance</option>
<option data-id="73000329144" value="Invoice">Invoice</option>
<option data-id="73000329145" value="Payment Issues">Payment Issues</option>
<option data-id="73000329143" value="Procurement Services">Procurement Services</option>
<option data-id="73000329146" value="Tax and Compliance">Tax and Compliance</option>
<option data-id="73000329148" value="Non PO Submission">Non PO Submission</option>
<option data-id="73000329150" value="1099 (USA Only)">1099 (USA Only)</option>
<option data-id="73000329147" value="Get Invoice">Get Invoice</option>
<option data-id="73000329171" value="Sign Up">Sign Up</option>
</select>
</div>
</div>
<textarea class="helpdesk_ticket_custom_field_cf_area_of_concern_ptp_2211666_picklist_section_73000329149 picklist_section_73000329149 hide"> <div class="control-group ticket_section">
<label class=" required control-label cf_type_dsmp_registration_and_maintenan_2211666-label " for="helpdesk_ticket_cf_type_dsmp_registration_and_maintenan_2211666">Type</label>
<div class="controls ">
<select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_type_dsmp_registration_and_maintenan_2211666]" id="helpdesk_ticket_custom_field_cf_type_dsmp_registration_and_maintenan_2211666"><option value="">...</option>
<option data-id="73000329156" value="Alternate Payee (Factor/Agency)">Alternate Payee (Factor/Agency)</option>
<option data-id="73000329158" value="DSMP Access for Existing Supplier">DSMP Access for Existing Supplier</option>
<option data-id="73000329155" value="Status of New Supplier Set-Up">Status of New Supplier Set-Up</option>
<option data-id="73000329157" value="Vendor Record Maintenance Issue">Vendor Record Maintenance Issue</option></select>
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_vendorsupplier_email_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_email_2211666">Vendor/Supplier Email</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_email_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_email_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" required control-label cf_vendorsupplier_number_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_number_2211666">Vendor/Supplier Number</label>
<div class="controls ">
<input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_number_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_vendor_supplier_name_2211666-label " for="helpdesk_ticket_cf_vendor_supplier_name_2211666">Vendor/Supplier Name</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendor_supplier_name_2211666]" id="helpdesk_ticket_custom_field_cf_vendor_supplier_name_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_dba_name_2211666-label " for="helpdesk_ticket_cf_dba_name_2211666">DBA Name</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_dba_name_2211666]" id="helpdesk_ticket_custom_field_cf_dba_name_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" required control-label cf_einfeinss_tax_id_number_2211666-label " for="helpdesk_ticket_cf_einfeinss_tax_id_number_2211666">EIN/FEIN/SS/ - Tax ID Number</label>
<div class="controls ">
<input class=" required number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_einfeinss_tax_id_number_2211666]" id="helpdesk_ticket_custom_field_cf_einfeinss_tax_id_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" required control-label cf_vatincountry_tax_number_2211666-label " for="helpdesk_ticket_cf_vatincountry_tax_number_2211666"> VAT/In-country tax Number </label>
<div class="controls ">
<input class=" required number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vatincountry_tax_number_2211666]" id="helpdesk_ticket_custom_field_cf_vatincountry_tax_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" required control-label cf_alternate_payee_vendor_number_2211666-label " for="helpdesk_ticket_cf_alternate_payee_vendor_number_2211666">Alternate Payee Vendor Number</label>
<div class="controls ">
<input class=" required number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_alternate_payee_vendor_number_2211666]" id="helpdesk_ticket_custom_field_cf_alternate_payee_vendor_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" required control-label cf_alternate_payee_vendor_name_2211666-label " for="helpdesk_ticket_cf_alternate_payee_vendor_name_2211666">Alternate Payee Vendor Name</label>
<div class="controls ">
<input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_alternate_payee_vendor_name_2211666]" id="helpdesk_ticket_custom_field_cf_alternate_payee_vendor_name_2211666" />
</div>
</div>
</textarea>
<textarea class="helpdesk_ticket_custom_field_cf_area_of_concern_ptp_2211666_picklist_section_73000329144 picklist_section_73000329144 hide"> <div class="control-group ticket_section">
<label class=" required control-label cf_type_of_invoice_2211666-label " for="helpdesk_ticket_cf_type_of_invoice_2211666">Type</label>
<div class="controls ">
<select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_type_of_invoice_2211666]" id="helpdesk_ticket_custom_field_cf_type_of_invoice_2211666"><option value="">...</option>
<option data-id="73000329485" value="B, L, M, R Blocks / GRIR / My Actions Working File">B, L, M, R Blocks / GRIR / My Actions Working File</option>
<option data-id="73000860320" value="C Blocks/Foreign (USA Legal Entities)">C Blocks/Foreign (USA Legal Entities)</option>
<option data-id="73000329486" value="ERS Freight Template (USA)">ERS Freight Template (USA)</option>
<option data-id="73000329484" value="Invoice Status">Invoice Status</option>
<option data-id="73000860321" value="X Blocks">X Blocks</option></select>
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_vendor_supplier_name_2211666-label " for="helpdesk_ticket_cf_vendor_supplier_name_2211666">Vendor/Supplier Name</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendor_supplier_name_2211666]" id="helpdesk_ticket_custom_field_cf_vendor_supplier_name_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" required control-label cf_vendorsupplier_number_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_number_2211666">Vendor/Supplier Number</label>
<div class="controls ">
<input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_number_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_vendorsupplier_email_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_email_2211666">Vendor/Supplier Email</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_email_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_email_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_purchase_order_number_2211666-label " for="helpdesk_ticket_cf_purchase_order_number_2211666">Purchase Order Number</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_purchase_order_number_2211666]" id="helpdesk_ticket_custom_field_cf_purchase_order_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_zap_request_number_2211666-label " for="helpdesk_ticket_cf_zap_request_number_2211666">ZAP/ZGUFI Request Number</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_zap_request_number_2211666]" id="helpdesk_ticket_custom_field_cf_zap_request_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_invoice_number_2211666-label " for="helpdesk_ticket_cf_invoice_number_2211666">Invoice Number</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_invoice_number_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_invoice_date_2211666-label " for="helpdesk_ticket_cf_invoice_date_2211666">Invoice Date</label>
<div class="controls support-date-field ">
<input type="text" name="helpdesk_ticket[custom_field][cf_invoice_date_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_date_2211666" class=" date section_field datepicker_popover" readonly="readonly" data-show-image="true" data-date-format="d M, yy" placeholder="" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_invoice_amount_2211666-label " for="helpdesk_ticket_cf_invoice_amount_2211666">Invoice Amount</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_invoice_amount_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_amount_2211666" />
</div>
</div>
</textarea>
<textarea class="helpdesk_ticket_custom_field_cf_area_of_concern_ptp_2211666_picklist_section_73000329145 picklist_section_73000329145 hide"> <div class="control-group ticket_section">
<label class=" required control-label cf_payment_type_2211666-label " for="helpdesk_ticket_cf_payment_type_2211666">Type</label>
<div class="controls ">
<select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_payment_type_2211666]" id="helpdesk_ticket_custom_field_cf_payment_type_2211666"><option value="">...</option>
<option data-id="73000329493" value="Accelerated Cash Discount Issue (USA)">Accelerated Cash Discount Issue (USA)</option>
<option data-id="73000329488" value="Direct Debit Payments (Europe Only)">Direct Debit Payments (Europe Only)</option>
<option data-id="73000329489" value="Multiple Bank Account Selection">Multiple Bank Account Selection</option>
<option data-id="73000807849" value="Overnight Slip (USA Only)">Overnight Slip (USA Only)</option>
<option data-id="73000329490" value="Payment Amount Incorrect">Payment Amount Incorrect</option>
<option data-id="73000329491" value="Payment Not Received">Payment Not Received</option>
<option data-id="73000329492" value="Refunds/Credits">Refunds/Credits</option>
<option data-id="73000329487" value="Remittance Inquiry">Remittance Inquiry</option>
<option data-id="73000329494" value="Request Proof of Electronic Payment">Request Proof of Electronic Payment</option></select>
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_vendor_supplier_name_2211666-label " for="helpdesk_ticket_cf_vendor_supplier_name_2211666">Vendor/Supplier Name</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendor_supplier_name_2211666]" id="helpdesk_ticket_custom_field_cf_vendor_supplier_name_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" required control-label cf_vendorsupplier_number_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_number_2211666">Vendor/Supplier Number</label>
<div class="controls ">
<input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_number_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_checkpayment_number_2211666-label " for="helpdesk_ticket_cf_checkpayment_number_2211666">Check/Payment Number</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_checkpayment_number_2211666]" id="helpdesk_ticket_custom_field_cf_checkpayment_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_payment_date_2211666-label " for="helpdesk_ticket_cf_payment_date_2211666">Payment Date</label>
<div class="controls support-date-field ">
<input type="text" name="helpdesk_ticket[custom_field][cf_payment_date_2211666]" id="helpdesk_ticket_custom_field_cf_payment_date_2211666" class=" date section_field datepicker_popover" readonly="readonly" data-show-image="true" data-date-format="d M, yy" placeholder="" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" required control-label cf_payment_amount_2211666-label " for="helpdesk_ticket_cf_payment_amount_2211666">Payment Amount</label>
<div class="controls ">
<input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_payment_amount_2211666]" id="helpdesk_ticket_custom_field_cf_payment_amount_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_vendorsupplier_email_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_email_2211666">Vendor/Supplier Email</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_email_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_email_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_purchase_order_number_2211666-label " for="helpdesk_ticket_cf_purchase_order_number_2211666">Purchase Order Number</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_purchase_order_number_2211666]" id="helpdesk_ticket_custom_field_cf_purchase_order_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_purchase_requisition_2211666-label " for="helpdesk_ticket_cf_purchase_requisition_2211666">Purchase Requisition</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_purchase_requisition_2211666]" id="helpdesk_ticket_custom_field_cf_purchase_requisition_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_zap_request_number_2211666-label " for="helpdesk_ticket_cf_zap_request_number_2211666">ZAP/ZGUFI Request Number</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_zap_request_number_2211666]" id="helpdesk_ticket_custom_field_cf_zap_request_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_invoice_number_2211666-label " for="helpdesk_ticket_cf_invoice_number_2211666">Invoice Number</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_invoice_number_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_invoice_date_2211666-label " for="helpdesk_ticket_cf_invoice_date_2211666">Invoice Date</label>
<div class="controls support-date-field ">
<input type="text" name="helpdesk_ticket[custom_field][cf_invoice_date_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_date_2211666" class=" date section_field datepicker_popover" readonly="readonly" data-show-image="true" data-date-format="d M, yy" placeholder="" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_invoice_amount_2211666-label " for="helpdesk_ticket_cf_invoice_amount_2211666">Invoice Amount</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_invoice_amount_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_amount_2211666" />
</div>
</div>
</textarea>
<textarea class="helpdesk_ticket_custom_field_cf_area_of_concern_ptp_2211666_picklist_section_73000329143 picklist_section_73000329143 hide"> <div class="control-group ticket_section">
<label class=" required control-label cf_type_of_change_purchase_order_2211666-label " for="helpdesk_ticket_cf_type_of_change_purchase_order_2211666">Type</label>
<div class="controls ">
<select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_type_of_change_purchase_order_2211666]" id="helpdesk_ticket_custom_field_cf_type_of_change_purchase_order_2211666"><option value="">...</option>
<option data-id="73000329172" value="Change Purchase Order">Change Purchase Order</option>
<option data-id="73000978113" value="Close Full Purchase Order (Visit FS HELP- Submit Purchase Orders for Closure)">Close Full Purchase Order (Visit FS HELP- Submit Purchase Orders for Closure)</option>
<option data-id="73000329173" value="Close Purchase Order Individual Line">Close Purchase Order Individual Line</option>
<option data-id="73000329174" value="Process Purchase Requisition">Process Purchase Requisition</option>
<option data-id="73000329175" value="Send/Re-Send Purchase Order">Send/Re-Send Purchase Order</option>
<option data-id="73000329176" value="General Inquiry">General Inquiry</option></select>
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_vendorsupplier_email_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_email_2211666">Vendor/Supplier Email</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_email_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_email_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_purchase_order_number_2211666-label " for="helpdesk_ticket_cf_purchase_order_number_2211666">Purchase Order Number</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_purchase_order_number_2211666]" id="helpdesk_ticket_custom_field_cf_purchase_order_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_purchase_requisition_2211666-label " for="helpdesk_ticket_cf_purchase_requisition_2211666">Purchase Requisition</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_purchase_requisition_2211666]" id="helpdesk_ticket_custom_field_cf_purchase_requisition_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" required control-label cf_vendorsupplier_number_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_number_2211666">Vendor/Supplier Number</label>
<div class="controls ">
<input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_number_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_vendor_supplier_name_2211666-label " for="helpdesk_ticket_cf_vendor_supplier_name_2211666">Vendor/Supplier Name</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendor_supplier_name_2211666]" id="helpdesk_ticket_custom_field_cf_vendor_supplier_name_2211666" />
</div>
</div>
</textarea>
<textarea class="helpdesk_ticket_custom_field_cf_area_of_concern_ptp_2211666_picklist_section_73000329146 picklist_section_73000329146 hide"> <div class="control-group ticket_section">
<label class=" required control-label cf_type_tax_and_audit_compliance_2211666-label " for="helpdesk_ticket_cf_type_tax_and_audit_compliance_2211666">Type</label>
<div class="controls ">
<select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_type_tax_and_audit_compliance_2211666]" id="helpdesk_ticket_custom_field_cf_type_tax_and_audit_compliance_2211666"><option value="">...</option>
<option data-id="73000329159" value="C Block (Non PO - USA Legal Entities)">C Block (Non PO - USA Legal Entities)</option>
<option data-id="73000329160" value="California State Tax (USA)">California State Tax (USA)</option>
<option data-id="73000329161" value="IRS B-Notices (USA)">IRS B-Notices (USA)</option>
<option data-id="73000329162" value="Levies/Liens (All Regions)">Levies/Liens (All Regions)</option>
<option data-id="73000329163" value="Taxes (All Regions)">Taxes (All Regions)</option>
<option data-id="73000329164" value="1042 Foreign Audit (USA)">1042 Foreign Audit (USA)</option>
<option data-id="73000329165" value="Withholding Tax (All Regions)">Withholding Tax (All Regions)</option>
<option data-id="73000329166" value="1042 Year End Reporting (USA)">1042 Year End Reporting (USA)</option>
<option data-id="73000329167" value="One Time Vendor (All Regions)">One Time Vendor (All Regions)</option></select>
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_business_unit_contact_2211666-label " for="helpdesk_ticket_cf_business_unit_contact_2211666">Business Unit Contact</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_business_unit_contact_2211666]" id="helpdesk_ticket_custom_field_cf_business_unit_contact_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_business_unit_contact_phone_number_2211666-label " for="helpdesk_ticket_cf_business_unit_contact_phone_number_2211666">Business Unit Contact phone number</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_business_unit_contact_phone_number_2211666]" id="helpdesk_ticket_custom_field_cf_business_unit_contact_phone_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_vendorsupplier_email_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_email_2211666">Vendor/Supplier Email</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_email_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_email_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_purchase_order_number_2211666-label " for="helpdesk_ticket_cf_purchase_order_number_2211666">Purchase Order Number</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_purchase_order_number_2211666]" id="helpdesk_ticket_custom_field_cf_purchase_order_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_zap_request_number_2211666-label " for="helpdesk_ticket_cf_zap_request_number_2211666">ZAP/ZGUFI Request Number</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_zap_request_number_2211666]" id="helpdesk_ticket_custom_field_cf_zap_request_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" required control-label cf_vendorsupplier_number_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_number_2211666">Vendor/Supplier Number</label>
<div class="controls ">
<input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_number_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_vendor_supplier_name_2211666-label " for="helpdesk_ticket_cf_vendor_supplier_name_2211666">Vendor/Supplier Name</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendor_supplier_name_2211666]" id="helpdesk_ticket_custom_field_cf_vendor_supplier_name_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_invoice_number_2211666-label " for="helpdesk_ticket_cf_invoice_number_2211666">Invoice Number</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_invoice_number_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_invoice_date_2211666-label " for="helpdesk_ticket_cf_invoice_date_2211666">Invoice Date</label>
<div class="controls support-date-field ">
<input type="text" name="helpdesk_ticket[custom_field][cf_invoice_date_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_date_2211666" class=" date section_field datepicker_popover" readonly="readonly" data-show-image="true" data-date-format="d M, yy" placeholder="" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_invoice_amount_2211666-label " for="helpdesk_ticket_cf_invoice_amount_2211666">Invoice Amount</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_invoice_amount_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_amount_2211666" />
</div>
</div>
</textarea>
<textarea class="helpdesk_ticket_custom_field_cf_area_of_concern_ptp_2211666_picklist_section_73000329148 picklist_section_73000329148 hide"> <div class="control-group ticket_section">
<label class=" required control-label cf_type_zap_or_zgufi_submission_2211666-label " for="helpdesk_ticket_cf_type_zap_or_zgufi_submission_2211666">Type</label>
<div class="controls ">
<select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_type_zap_or_zgufi_submission_2211666]" id="helpdesk_ticket_custom_field_cf_type_zap_or_zgufi_submission_2211666"><option value="">...</option>
<option data-id="73000329151" value="Form/Approval Issue">Form/Approval Issue</option>
<option data-id="73000329153" value="Incorrect Information Submitted">Incorrect Information Submitted</option>
<option data-id="73000329152" value="Rejected Request">Rejected Request</option>
<option data-id="73000329154" value="Status of Approved/Posted Request">Status of Approved/Posted Request</option></select>
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_vendorsupplier_email_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_email_2211666">Vendor/Supplier Email</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_email_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_email_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_zap_request_number_2211666-label " for="helpdesk_ticket_cf_zap_request_number_2211666">ZAP/ZGUFI Request Number</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_zap_request_number_2211666]" id="helpdesk_ticket_custom_field_cf_zap_request_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" required control-label cf_vendorsupplier_number_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_number_2211666">Vendor/Supplier Number</label>
<div class="controls ">
<input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_number_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_vendor_supplier_name_2211666-label " for="helpdesk_ticket_cf_vendor_supplier_name_2211666">Vendor/Supplier Name</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendor_supplier_name_2211666]" id="helpdesk_ticket_custom_field_cf_vendor_supplier_name_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_invoice_number_2211666-label " for="helpdesk_ticket_cf_invoice_number_2211666">Invoice Number</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_invoice_number_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_invoice_date_2211666-label " for="helpdesk_ticket_cf_invoice_date_2211666">Invoice Date</label>
<div class="controls support-date-field ">
<input type="text" name="helpdesk_ticket[custom_field][cf_invoice_date_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_date_2211666" class=" date section_field datepicker_popover" readonly="readonly" data-show-image="true" data-date-format="d M, yy" placeholder="" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_invoice_amount_2211666-label " for="helpdesk_ticket_cf_invoice_amount_2211666">Invoice Amount</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_invoice_amount_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_amount_2211666" />
</div>
</div>
</textarea>
<textarea class="helpdesk_ticket_custom_field_cf_area_of_concern_ptp_2211666_picklist_section_73000329150 picklist_section_73000329150 hide"> <div class="control-group ticket_section">
<label class=" required control-label cf_type_1099_2211666-label " for="helpdesk_ticket_cf_type_1099_2211666">Type</label>
<div class="controls ">
<select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_type_1099_2211666]" id="helpdesk_ticket_custom_field_cf_type_1099_2211666"><option value="">...</option>
<option data-id="73000329168" value="Request for 1099">Request for 1099</option>
<option data-id="73000329169" value="Request for corrected 1099">Request for corrected 1099</option>
<option data-id="73000329170" value="Year End Consolidation Files for 1099">Year End Consolidation Files for 1099</option></select>
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_business_unit_contact_2211666-label " for="helpdesk_ticket_cf_business_unit_contact_2211666">Business Unit Contact</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_business_unit_contact_2211666]" id="helpdesk_ticket_custom_field_cf_business_unit_contact_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_business_unit_contact_phone_number_2211666-label " for="helpdesk_ticket_cf_business_unit_contact_phone_number_2211666">Business Unit Contact phone number</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_business_unit_contact_phone_number_2211666]" id="helpdesk_ticket_custom_field_cf_business_unit_contact_phone_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_vendorsupplier_email_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_email_2211666">Vendor/Supplier Email</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_email_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_email_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" required control-label cf_vendorsupplier_number_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_number_2211666">Vendor/Supplier Number</label>
<div class="controls ">
<input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_number_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_vendor_supplier_name_2211666-label " for="helpdesk_ticket_cf_vendor_supplier_name_2211666">Vendor/Supplier Name</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendor_supplier_name_2211666]" id="helpdesk_ticket_custom_field_cf_vendor_supplier_name_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" required control-label cf_individual_name_business_name_2211666-label " for="helpdesk_ticket_cf_individual_name_business_name_2211666">Individual Name /Business Name</label>
<div class="controls ">
<input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_individual_name_business_name_2211666]" id="helpdesk_ticket_custom_field_cf_individual_name_business_name_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" required control-label cf_social_security_number_or_employer_identification_number_2211666-label " for="helpdesk_ticket_cf_social_security_number_or_employer_identification_number_2211666">Social Security Number (Last 4) or Employer Identification Number (No Dash)</label>
<div class="controls ">
<input class=" required number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_social_security_number_or_employer_identification_number_2211666]" id="helpdesk_ticket_custom_field_cf_social_security_number_or_employer_identification_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" required control-label cf_complete_address_2211666-label " for="helpdesk_ticket_cf_complete_address_2211666">Complete Address</label>
<div class="controls ">
<textarea class=" required paragraph section_field span12" rows="6" placeholder="" name="helpdesk_ticket[custom_field][cf_complete_address_2211666]" id="helpdesk_ticket_custom_field_cf_complete_address_2211666">
&lt/textarea&gt
</div>
</div>
</textarea>
<textarea class="helpdesk_ticket_custom_field_cf_area_of_concern_ptp_2211666_picklist_section_73000329147 picklist_section_73000329147 hide"> <div class="control-group ticket_section">
<label class=" control-label cf_invoice_number_2211666-label " for="helpdesk_ticket_cf_invoice_number_2211666">Invoice Number</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_invoice_number_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_invoice_date_2211666-label " for="helpdesk_ticket_cf_invoice_date_2211666">Invoice Date</label>
<div class="controls support-date-field ">
<input type="text" name="helpdesk_ticket[custom_field][cf_invoice_date_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_date_2211666" class=" date section_field datepicker_popover" readonly="readonly" data-show-image="true" data-date-format="d M, yy" placeholder="" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_purchase_order_number_2211666-label " for="helpdesk_ticket_cf_purchase_order_number_2211666">Purchase Order Number</label>
<div class="controls ">
<input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_purchase_order_number_2211666]" id="helpdesk_ticket_custom_field_cf_purchase_order_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" required control-label cf_vendorsupplier_number_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_number_2211666">Vendor/Supplier Number</label>
<div class="controls ">
<input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_number_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_number_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" control-label cf_isinvoice_2211666-label " for="helpdesk_ticket_cf_isinvoice_2211666">isInvoice</label>
<div class="controls ">
<select class=" dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_isinvoice_2211666]" id="helpdesk_ticket_custom_field_cf_isinvoice_2211666"><option value="">...</option>
<option data-id="73000329510" value="True">True</option>
<option data-id="73000329511" value="False">False</option></select>
</div>
</div>
</textarea>
<textarea class="helpdesk_ticket_custom_field_cf_area_of_concern_ptp_2211666_picklist_section_73000329171 picklist_section_73000329171 hide"> <div class="control-group ticket_section">
<label class=" required control-label cf_full_name_2211666-label " for="helpdesk_ticket_cf_full_name_2211666">Full Name</label>
<div class="controls ">
<input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_full_name_2211666]" id="helpdesk_ticket_custom_field_cf_full_name_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" required control-label cf_work_phone_2211666-label " for="helpdesk_ticket_cf_work_phone_2211666">Work Phone</label>
<div class="controls ">
<input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_work_phone_2211666]" id="helpdesk_ticket_custom_field_cf_work_phone_2211666" />
</div>
</div>
<div class="control-group ticket_section">
<label class=" required control-label cf_region_2211666-label " for="helpdesk_ticket_cf_region_2211666">Country/Region</label>
<div class="controls ">
<select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_region_2211666]" id="helpdesk_ticket_custom_field_cf_region_2211666"><option value="">...</option>
<option data-id="73000329550" value="Argentina - AR">Argentina - AR</option>
<option data-id="73000329520" value="Australia - AU">Australia - AU</option>
<option data-id="73000329521" value="Austria - AT">Austria - AT</option>
<option data-id="73000329522" value="Belgium - BE">Belgium - BE</option>
<option data-id="73000329566" value="Bermuda- BM">Bermuda- BM</option>
<option data-id="73000329551" value="Brazil - BR">Brazil - BR</option>
<option data-id="73000526726" value="Bulgaria - BG">Bulgaria - BG</option>
<option data-id="73000329523" value="Canada - CA">Canada - CA</option>
<option data-id="73000329567" value="Cayman Islands- KY">Cayman Islands- KY</option>
<option data-id="73000329552" value="Chile - CL">Chile - CL</option>
<option data-id="73000329524" value="China - CN">China - CN</option>
<option data-id="73000329553" value="Colombia - CO">Colombia - CO</option>
<option data-id="73000526727" value="Croatia - HR">Croatia - HR</option>
<option data-id="73001008954" value="Czech Republic - CZ">Czech Republic - CZ</option>
<option data-id="73000329525" value="Denmark - DK">Denmark - DK</option>
<option data-id="73000329526" value="Finland - FI">Finland - FI</option>
<option data-id="73000329549" value="France - FR">France - FR</option>
<option data-id="73000329527" value="Germany - DE">Germany - DE</option>
<option data-id="73000329560" value="Greece - GR">Greece - GR</option>
<option data-id="73000329528" value="Hong Kong - HK">Hong Kong - HK</option>
<option data-id="73000329559" value="Hungary - HU">Hungary - HU</option>
<option data-id="73000329529" value="India - IN">India - IN</option>
<option data-id="73000329530" value="Indonesia - ID">Indonesia - ID</option>
<option data-id="73000329531" value="Ireland - IE">Ireland - IE</option>
<option data-id="73000329561" value="Israel - IL">Israel - IL</option>
<option data-id="73000329532" value="Italy - IT">Italy - IT</option>
<option data-id="73000329533" value="Japan - JP">Japan - JP</option>
<option data-id="73001010719" value="Jordan - JO">Jordan - JO</option>
<option data-id="73000329534" value="Malaysia - MY">Malaysia - MY</option>
<option data-id="73001008186" value="Malta - MT">Malta - MT</option>
<option data-id="73000329554" value="Mexico - MX">Mexico - MX</option>
<option data-id="73000329535" value="Netherlands - NL">Netherlands - NL</option>
<option data-id="73000329536" value="New Zealand - NZ">New Zealand - NZ</option>
<option data-id="73000329537" value="Norway - NO">Norway - NO</option>
<option data-id="73000329562" value="Panama- PA">Panama- PA</option>
<option data-id="73000329555" value="Peru - PE">Peru - PE</option>
<option data-id="73000329538" value="Philippines - PH">Philippines - PH</option>
<option data-id="73000329563" value="Poland - PL">Poland - PL</option>
<option data-id="73000329558" value="Portugal - PT">Portugal - PT</option>
<option data-id="73000329564" value="Russia- RU">Russia- RU</option>
<option data-id="73000526728" value="Serbia - RS">Serbia - RS</option>
<option data-id="73000329539" value="Singapore - SG">Singapore - SG</option>
<option data-id="73000526729" value="Slovenia - SI">Slovenia - SI</option>
<option data-id="73000329540" value="South Africa - ZA">South Africa - ZA</option>
<option data-id="73000329541" value="South Korea - KR">South Korea - KR</option>
<option data-id="73000329542" value="Spain - ES">Spain - ES</option>
<option data-id="73000329543" value="Sweden - SE">Sweden - SE</option>
<option data-id="73000329544" value="Switzerland - CH">Switzerland - CH</option>
<option data-id="73000329545" value="Taiwan - TW">Taiwan - TW</option>
<option data-id="73000329546" value="Thailand - TH">Thailand - TH</option>
<option data-id="73000329570" value="Turkey - TR">Turkey - TR</option>
<option data-id="73000329557" value="United Arab Emirates - UAE">United Arab Emirates - UAE</option>
<option data-id="73000329547" value="United Kingdom - GB">United Kingdom - GB</option>
<option data-id="73000329548" value="USA - US">USA - US</option>
<option data-id="73000329556" value="Venezuela - VE">Venezuela - VE</option>
<option data-id="73000329565" value="Vietnam - VN">Vietnam - VN</option>
<option data-id="73000329568" value="British Virgin Islands - VG">British Virgin Islands - VG</option>
<option data-id="73000329569" value="US Virgin Islands - VI">US Virgin Islands - VI</option></select>
</div>
</div>
</textarea>
<div class="control-group ">
<label class=" control-label cf_company_name_2211666-label " for="helpdesk_ticket_cf_company_name_2211666">Company Name</label>
<div class="controls ">
<input class=" text span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_company_name_2211666]" id="helpdesk_ticket_custom_field_cf_company_name_2211666">
</div>
</div>
<div class="control-group ">
<label class=" required control-label description-label " for="helpdesk_ticket_description" aria-required="true">Additional Information</label>
<div class="controls ">
<div class="redactor_box">
<ul class="redactor_toolbar">
<li><a href="javascript:void(null);" title="Bold (Ctrl-B)" class="redactor_btn_bold" tabindex="-1"><span class="hide">Bold (Ctrl-B)</span></a></li>
<li><a href="javascript:void(null);" title="Italic (Ctrl-I)" class="redactor_btn_italic" tabindex="-1"><span class="hide">Italic (Ctrl-I)</span></a></li>
<li><a href="javascript:void(null);" title="Underline(Ctrl-U)" class="redactor_btn_underline" tabindex="-1"><span class="hide">Underline(Ctrl-U)</span></a></li>
<li class="redactor_separator"></li>
<li><a href="javascript:void(null);" title="• Unordered List (Ctrl-Shift-7)" class="redactor_btn_unorderedlist" tabindex="-1"><span class="hide">• Unordered List (Ctrl-Shift-7)</span></a></li>
<li><a href="javascript:void(null);" title="1. Ordered List (Ctrl-Shift-8)" class="redactor_btn_orderedlist" tabindex="-1"><span class="hide">1. Ordered List (Ctrl-Shift-8)</span></a></li>
<li class="redactor_separator"></li>
<li><a href="javascript:void(null);" title="Font Color" class="redactor_btn_fontcolor" tabindex="-1"><span class="hide">Font Color</span></a></li>
<li><a href="javascript:void(null);" title="Back Color" class="redactor_btn_backcolor" tabindex="-1"><span class="hide">Back Color</span></a></li>
<li class="redactor_separator"></li>
<li><a href="javascript:void(null);" title="Link" class="redactor_btn_link" tabindex="-1"><span class="hide">Link</span></a></li>
</ul>
<div rel="getPasteImage" contenteditable="true" style="width:50px;height:0px; overflow: hidden;"></div>
<div class="redactor_editor" contenteditable="true" dir="ltr" style="height: 0px; font-family: "Helvetica Neue", Helvetica, Arial, sans-serif; font-size: 13px;">
<p><br></p>
</div><textarea class=" required_redactor html_paragraph span12" rows="6" placeholder="" name="helpdesk_ticket[ticket_body_attributes][description_html]" id="helpdesk_ticket_ticket_body_attributes_description_html"
style="display: none;"></textarea>
</div>
<div class="single_file">
<div class="attach-wrapper row-fluid new-attach" id="attachment-type" data-multifile-enable="true" data-location="portal">
<div class="attachments-list-wrap">
<div class="attachments-list-form" id="ticket-container">
<div class="attachment_contents">
<div id="ticket-attachments" class="attachments-wrap shared_attachment_list">
</div>
</div>
</div>
<div class="clearfix"></div>
<div class="hidden_upload">
<div class="add_attachment"><span>+</span> Attach a file</div>
<input type="file" name="emptyfile" id="ticket_file" data-attach-id="ticket" namewhenfilled="helpdesk_ticket[attachments][][resource]" filecontainer="ticket-container" filelist="ticket-attachments" sendfocusto="ticket-body"
max_size="20" max_attachment="" class="original_input">
</div>
</div>
<!-- screenshot-->
<!--screenshot end -->
</div>
<script id="file-list-template" type="text/x-jquery-tmpl"> <div class="item">
<span class="{{if (!file_valid) }} alert-invalid {{/if}}">
${name} {{if (size != '0' && size != '0.00 KB ') }} (${size}) {{/if}} -
</span>
<span>
{{if (file_valid) }}
<a href="javascript:void(0)" onclick="Helpdesk.Multifile.remove(this); return false;" inputId="${inputId}" class="attachment-close"></a>
{{/if}}
{{if (!file_valid)}}
{{if (is_blocked) }}
<div>
<span class="alert-invalid-attach-text">
Your attachment(s) type is/are not supported.(Not Added)
</span>
</div>
{{else}}
<div>
<span class="alert-invalid-attach-text">
Exceeds attachments size(Not Added)
</span>
</div>
{{/if}}
{{/if}}
</span>
</div>
</script>
<script type="text/javascript">
// Fix for Firefox/IE - To override :hover style persistance after click on input[type=file] element
jQuery('div.attach-wrapper a[data-toggle="dropdown"]').bind('click', function() {
jQuery(this).parents('div.attach-wrapper').find('a.attach-link-wrap').first().css({
'background-color': 'inherit',
'background-image': 'inherit',
'color': 'inherit',
'box-shadow': 'inherit'
});
});
jQuery('li.portal-attach a.attach-link-wrap').bind('mouseover', function() {
jQuery(this).removeAttr('style');
}).bind('mousemove', function(event) {
// Fix to move "Browse" button along with mouse pointer - fix for IE.
p = jQuery(this).find('div').first();
newLeft = Math.min(175, Math.max(event.clientX - p.offset().left + p.position().left - 5, 0));
window.title = newLeft;
p.css({
left: newLeft,
top: 0
});
})
</script>
</div>
</div>
</div>
<div class="control-group ">
<label class=" control-label cf_issignup_2211666-label " for="helpdesk_ticket_cf_issignup_2211666">isSignup</label>
<div class="controls ">
<select class=" dropdown_blank dynamic_sections" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_issignup_2211666]" id="helpdesk_ticket_custom_field_cf_issignup_2211666">
<option value="">...</option>
<option data-id="73000329518" value="true">true</option>
<option data-id="73000329519" value="false">false</option>
</select>
</div>
</div>
<!-- block ends here for fragment cache -->
<div class="control-group">
<div class="controls recaptcha-control">
<script src="https://www.recaptcha.net/recaptcha/api.js" async="" defer=""></script>
<div data-sitekey="6LdvejUUAAAAAEn6wjOFcPVRyQr4KtAJ03ltA1SQ" class="g-recaptcha " display="{:theme=>" white"}"="">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-on20g61bv5w2" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
src="https://www.recaptcha.net/recaptcha/api2/anchor?ar=1&k=6LdvejUUAAAAAEn6wjOFcPVRyQr4KtAJ03ltA1SQ&co=aHR0cHM6Ly9kd3NzLXB0cC5kaXNuZXkuY29tOjQ0Mw..&hl=de&v=8k85QBI-qzxmenDv318AZH30&size=normal&cb=1pqesmui407z"></iframe>
</div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
<noscript>
<div>
<div style="width: 302px; height: 422px; position: relative;">
<div style="width: 302px; height: 422px; position: absolute;">
<iframe src="https://www.recaptcha.net/recaptcha/api/fallback?k=6LdvejUUAAAAAEn6wjOFcPVRyQr4KtAJ03ltA1SQ" name="ReCAPTCHA" style="width: 302px; height: 422px; border-style: none; border: 0; overflow: hidden;">
</iframe>
</div>
</div>
<div style="width: 300px; height: 60px; border-style: none;
bottom: 12px; left: 25px; margin: 0px; padding: 0px; right: 25px;
background: #f9f9f9; border: 1px solid #c1c1c1; border-radius: 3px;">
<textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid #c1c1c1;
margin: 10px 25px; padding: 0px; resize: none;"> </textarea>
</div>
</div>
</noscript>
</div>
</div>
<input type="hidden" name="meta[user_agent]" id="meta_user_agent" value="Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/109.0.0.0 Safari/537.36">
<input type="hidden" name="meta[seen_articles]" id="meta_seen_articles">
<input type="hidden" name="meta[enterprise_enabled]" id="meta_enterprise_enabled" value="false"> <input type="hidden" name="meta[referrer]" id="meta_referrer" value="">
<input type="hidden" name="helpdesk_ticket[form_id]" id="helpdesk_ticket_form_id" value="13421">
<div class="form-actions">
<input type="submit" name="commit" value="Submit" id="helpdesk_ticket_submit" class="btn btn-primary">
<a class="btn" href="/support/home">Cancel</a>
</div>
</form>Text Content
DISNEY PURCHASE TO PAY CUSTOMER SERVICE INQUIRY PLEASE SELECT THE APPROPRIATE LOG IN TO CONTINUE Agent Login Home Solutions You have already registered with PTP Customer Service Inquiry. Please use the Forgot Password link on the Disney Supplier Log In page to retrieve your password. Account Successfully Registered. Please check your mailbox for the the activation link. SUPPLIERS PTP CUSTOMER SERVICE INQUIRY Have a question? Create a ticket regarding invoices, Payments, Disney Supplier Management Portal and other Purchase to Pay questions. First time user registration Return user Note: Username and password for the PTP Customer Service Inquiry are not the same as Disney Supplier Management Portal Provides access to supplier creation & updates (banking, contact & address information) and view invoice and payment status Supplier DSMP EMPLOYEES DISNEY PURCHASE TO PAY (PTP) CUSTOMER SERVICE INQUIRY Have a question? Create a ticket regarding invoices, Payments, Disney Supplier Management Portal and other Purchase to Pay questions. Disney Employee Note: To navigate to the DSMP, please access from SAP LOGIN TO THE SUPPORT PORTAL Remember me on this computer Forgot your password? Login Are you an agent? Login here Are you a customer? Login here FORGOT PASSWORD Give us your email address and instructions to reset your password will be emailed to you. Cancel Reset my password SIGN UP FOR YOUR PURCHASE TO PAY ACCOUNT Requester Email Requester Contact Number Hub (SAP ID) Subject Area of Concern ... Disney Supplier Management Portal/Vendor Maintenance Invoice Payment Issues Procurement Services Tax and Compliance Non PO Submission 1099 (USA Only) Get Invoice Sign Up <div class="control-group ticket_section"> <label class=" required control-label cf_type_dsmp_registration_and_maintenan_2211666-label " for="helpdesk_ticket_cf_type_dsmp_registration_and_maintenan_2211666">Type</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_type_dsmp_registration_and_maintenan_2211666]" id="helpdesk_ticket_custom_field_cf_type_dsmp_registration_and_maintenan_2211666"><option value="">...</option> <option data-id="73000329156" value="Alternate Payee (Factor/Agency)">Alternate Payee (Factor/Agency)</option> <option data-id="73000329158" value="DSMP Access for Existing Supplier">DSMP Access for Existing Supplier</option> <option data-id="73000329155" value="Status of New Supplier Set-Up">Status of New Supplier Set-Up</option> <option data-id="73000329157" value="Vendor Record Maintenance Issue">Vendor Record Maintenance Issue</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_vendorsupplier_email_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_email_2211666">Vendor/Supplier Email</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_email_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_email_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_vendorsupplier_number_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_number_2211666">Vendor/Supplier Number</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_number_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_vendor_supplier_name_2211666-label " for="helpdesk_ticket_cf_vendor_supplier_name_2211666">Vendor/Supplier Name</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendor_supplier_name_2211666]" id="helpdesk_ticket_custom_field_cf_vendor_supplier_name_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_dba_name_2211666-label " for="helpdesk_ticket_cf_dba_name_2211666">DBA Name</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_dba_name_2211666]" id="helpdesk_ticket_custom_field_cf_dba_name_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_einfeinss_tax_id_number_2211666-label " for="helpdesk_ticket_cf_einfeinss_tax_id_number_2211666">EIN/FEIN/SS/ - Tax ID Number</label> <div class="controls "> <input class=" required number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_einfeinss_tax_id_number_2211666]" id="helpdesk_ticket_custom_field_cf_einfeinss_tax_id_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_vatincountry_tax_number_2211666-label " for="helpdesk_ticket_cf_vatincountry_tax_number_2211666"> VAT/In-country tax Number </label> <div class="controls "> <input class=" required number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vatincountry_tax_number_2211666]" id="helpdesk_ticket_custom_field_cf_vatincountry_tax_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_alternate_payee_vendor_number_2211666-label " for="helpdesk_ticket_cf_alternate_payee_vendor_number_2211666">Alternate Payee Vendor Number</label> <div class="controls "> <input class=" required number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_alternate_payee_vendor_number_2211666]" id="helpdesk_ticket_custom_field_cf_alternate_payee_vendor_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_alternate_payee_vendor_name_2211666-label " for="helpdesk_ticket_cf_alternate_payee_vendor_name_2211666">Alternate Payee Vendor Name</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_alternate_payee_vendor_name_2211666]" id="helpdesk_ticket_custom_field_cf_alternate_payee_vendor_name_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_type_of_invoice_2211666-label " for="helpdesk_ticket_cf_type_of_invoice_2211666">Type</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_type_of_invoice_2211666]" id="helpdesk_ticket_custom_field_cf_type_of_invoice_2211666"><option value="">...</option> <option data-id="73000329485" value="B, L, M, R Blocks / GRIR / My Actions Working File">B, L, M, R Blocks / GRIR / My Actions Working File</option> <option data-id="73000860320" value="C Blocks/Foreign (USA Legal Entities)">C Blocks/Foreign (USA Legal Entities)</option> <option data-id="73000329486" value="ERS Freight Template (USA)">ERS Freight Template (USA)</option> <option data-id="73000329484" value="Invoice Status">Invoice Status</option> <option data-id="73000860321" value="X Blocks">X Blocks</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_vendor_supplier_name_2211666-label " for="helpdesk_ticket_cf_vendor_supplier_name_2211666">Vendor/Supplier Name</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendor_supplier_name_2211666]" id="helpdesk_ticket_custom_field_cf_vendor_supplier_name_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_vendorsupplier_number_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_number_2211666">Vendor/Supplier Number</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_number_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_vendorsupplier_email_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_email_2211666">Vendor/Supplier Email</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_email_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_email_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_purchase_order_number_2211666-label " for="helpdesk_ticket_cf_purchase_order_number_2211666">Purchase Order Number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_purchase_order_number_2211666]" id="helpdesk_ticket_custom_field_cf_purchase_order_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_zap_request_number_2211666-label " for="helpdesk_ticket_cf_zap_request_number_2211666">ZAP/ZGUFI Request Number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_zap_request_number_2211666]" id="helpdesk_ticket_custom_field_cf_zap_request_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_invoice_number_2211666-label " for="helpdesk_ticket_cf_invoice_number_2211666">Invoice Number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_invoice_number_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_invoice_date_2211666-label " for="helpdesk_ticket_cf_invoice_date_2211666">Invoice Date</label> <div class="controls support-date-field "> <input type="text" name="helpdesk_ticket[custom_field][cf_invoice_date_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_date_2211666" class=" date section_field datepicker_popover" readonly="readonly" data-show-image="true" data-date-format="d M, yy" placeholder="" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_invoice_amount_2211666-label " for="helpdesk_ticket_cf_invoice_amount_2211666">Invoice Amount</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_invoice_amount_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_amount_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_payment_type_2211666-label " for="helpdesk_ticket_cf_payment_type_2211666">Type</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_payment_type_2211666]" id="helpdesk_ticket_custom_field_cf_payment_type_2211666"><option value="">...</option> <option data-id="73000329493" value="Accelerated Cash Discount Issue (USA)">Accelerated Cash Discount Issue (USA)</option> <option data-id="73000329488" value="Direct Debit Payments (Europe Only)">Direct Debit Payments (Europe Only)</option> <option data-id="73000329489" value="Multiple Bank Account Selection">Multiple Bank Account Selection</option> <option data-id="73000807849" value="Overnight Slip (USA Only)">Overnight Slip (USA Only)</option> <option data-id="73000329490" value="Payment Amount Incorrect">Payment Amount Incorrect</option> <option data-id="73000329491" value="Payment Not Received">Payment Not Received</option> <option data-id="73000329492" value="Refunds/Credits">Refunds/Credits</option> <option data-id="73000329487" value="Remittance Inquiry">Remittance Inquiry</option> <option data-id="73000329494" value="Request Proof of Electronic Payment">Request Proof of Electronic Payment</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_vendor_supplier_name_2211666-label " for="helpdesk_ticket_cf_vendor_supplier_name_2211666">Vendor/Supplier Name</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendor_supplier_name_2211666]" id="helpdesk_ticket_custom_field_cf_vendor_supplier_name_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_vendorsupplier_number_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_number_2211666">Vendor/Supplier Number</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_number_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_checkpayment_number_2211666-label " for="helpdesk_ticket_cf_checkpayment_number_2211666">Check/Payment Number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_checkpayment_number_2211666]" id="helpdesk_ticket_custom_field_cf_checkpayment_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_payment_date_2211666-label " for="helpdesk_ticket_cf_payment_date_2211666">Payment Date</label> <div class="controls support-date-field "> <input type="text" name="helpdesk_ticket[custom_field][cf_payment_date_2211666]" id="helpdesk_ticket_custom_field_cf_payment_date_2211666" class=" date section_field datepicker_popover" readonly="readonly" data-show-image="true" data-date-format="d M, yy" placeholder="" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_payment_amount_2211666-label " for="helpdesk_ticket_cf_payment_amount_2211666">Payment Amount</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_payment_amount_2211666]" id="helpdesk_ticket_custom_field_cf_payment_amount_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_vendorsupplier_email_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_email_2211666">Vendor/Supplier Email</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_email_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_email_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_purchase_order_number_2211666-label " for="helpdesk_ticket_cf_purchase_order_number_2211666">Purchase Order Number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_purchase_order_number_2211666]" id="helpdesk_ticket_custom_field_cf_purchase_order_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_purchase_requisition_2211666-label " for="helpdesk_ticket_cf_purchase_requisition_2211666">Purchase Requisition</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_purchase_requisition_2211666]" id="helpdesk_ticket_custom_field_cf_purchase_requisition_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_zap_request_number_2211666-label " for="helpdesk_ticket_cf_zap_request_number_2211666">ZAP/ZGUFI Request Number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_zap_request_number_2211666]" id="helpdesk_ticket_custom_field_cf_zap_request_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_invoice_number_2211666-label " for="helpdesk_ticket_cf_invoice_number_2211666">Invoice Number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_invoice_number_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_invoice_date_2211666-label " for="helpdesk_ticket_cf_invoice_date_2211666">Invoice Date</label> <div class="controls support-date-field "> <input type="text" name="helpdesk_ticket[custom_field][cf_invoice_date_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_date_2211666" class=" date section_field datepicker_popover" readonly="readonly" data-show-image="true" data-date-format="d M, yy" placeholder="" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_invoice_amount_2211666-label " for="helpdesk_ticket_cf_invoice_amount_2211666">Invoice Amount</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_invoice_amount_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_amount_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_type_of_change_purchase_order_2211666-label " for="helpdesk_ticket_cf_type_of_change_purchase_order_2211666">Type</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_type_of_change_purchase_order_2211666]" id="helpdesk_ticket_custom_field_cf_type_of_change_purchase_order_2211666"><option value="">...</option> <option data-id="73000329172" value="Change Purchase Order">Change Purchase Order</option> <option data-id="73000978113" value="Close Full Purchase Order (Visit FS HELP- Submit Purchase Orders for Closure)">Close Full Purchase Order (Visit FS HELP- Submit Purchase Orders for Closure)</option> <option data-id="73000329173" value="Close Purchase Order Individual Line">Close Purchase Order Individual Line</option> <option data-id="73000329174" value="Process Purchase Requisition">Process Purchase Requisition</option> <option data-id="73000329175" value="Send/Re-Send Purchase Order">Send/Re-Send Purchase Order</option> <option data-id="73000329176" value="General Inquiry">General Inquiry</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_vendorsupplier_email_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_email_2211666">Vendor/Supplier Email</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_email_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_email_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_purchase_order_number_2211666-label " for="helpdesk_ticket_cf_purchase_order_number_2211666">Purchase Order Number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_purchase_order_number_2211666]" id="helpdesk_ticket_custom_field_cf_purchase_order_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_purchase_requisition_2211666-label " for="helpdesk_ticket_cf_purchase_requisition_2211666">Purchase Requisition</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_purchase_requisition_2211666]" id="helpdesk_ticket_custom_field_cf_purchase_requisition_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_vendorsupplier_number_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_number_2211666">Vendor/Supplier Number</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_number_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_vendor_supplier_name_2211666-label " for="helpdesk_ticket_cf_vendor_supplier_name_2211666">Vendor/Supplier Name</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendor_supplier_name_2211666]" id="helpdesk_ticket_custom_field_cf_vendor_supplier_name_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_type_tax_and_audit_compliance_2211666-label " for="helpdesk_ticket_cf_type_tax_and_audit_compliance_2211666">Type</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_type_tax_and_audit_compliance_2211666]" id="helpdesk_ticket_custom_field_cf_type_tax_and_audit_compliance_2211666"><option value="">...</option> <option data-id="73000329159" value="C Block (Non PO - USA Legal Entities)">C Block (Non PO - USA Legal Entities)</option> <option data-id="73000329160" value="California State Tax (USA)">California State Tax (USA)</option> <option data-id="73000329161" value="IRS B-Notices (USA)">IRS B-Notices (USA)</option> <option data-id="73000329162" value="Levies/Liens (All Regions)">Levies/Liens (All Regions)</option> <option data-id="73000329163" value="Taxes (All Regions)">Taxes (All Regions)</option> <option data-id="73000329164" value="1042 Foreign Audit (USA)">1042 Foreign Audit (USA)</option> <option data-id="73000329165" value="Withholding Tax (All Regions)">Withholding Tax (All Regions)</option> <option data-id="73000329166" value="1042 Year End Reporting (USA)">1042 Year End Reporting (USA)</option> <option data-id="73000329167" value="One Time Vendor (All Regions)">One Time Vendor (All Regions)</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_business_unit_contact_2211666-label " for="helpdesk_ticket_cf_business_unit_contact_2211666">Business Unit Contact</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_business_unit_contact_2211666]" id="helpdesk_ticket_custom_field_cf_business_unit_contact_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_business_unit_contact_phone_number_2211666-label " for="helpdesk_ticket_cf_business_unit_contact_phone_number_2211666">Business Unit Contact phone number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_business_unit_contact_phone_number_2211666]" id="helpdesk_ticket_custom_field_cf_business_unit_contact_phone_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_vendorsupplier_email_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_email_2211666">Vendor/Supplier Email</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_email_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_email_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_purchase_order_number_2211666-label " for="helpdesk_ticket_cf_purchase_order_number_2211666">Purchase Order Number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_purchase_order_number_2211666]" id="helpdesk_ticket_custom_field_cf_purchase_order_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_zap_request_number_2211666-label " for="helpdesk_ticket_cf_zap_request_number_2211666">ZAP/ZGUFI Request Number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_zap_request_number_2211666]" id="helpdesk_ticket_custom_field_cf_zap_request_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_vendorsupplier_number_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_number_2211666">Vendor/Supplier Number</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_number_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_vendor_supplier_name_2211666-label " for="helpdesk_ticket_cf_vendor_supplier_name_2211666">Vendor/Supplier Name</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendor_supplier_name_2211666]" id="helpdesk_ticket_custom_field_cf_vendor_supplier_name_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_invoice_number_2211666-label " for="helpdesk_ticket_cf_invoice_number_2211666">Invoice Number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_invoice_number_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_invoice_date_2211666-label " for="helpdesk_ticket_cf_invoice_date_2211666">Invoice Date</label> <div class="controls support-date-field "> <input type="text" name="helpdesk_ticket[custom_field][cf_invoice_date_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_date_2211666" class=" date section_field datepicker_popover" readonly="readonly" data-show-image="true" data-date-format="d M, yy" placeholder="" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_invoice_amount_2211666-label " for="helpdesk_ticket_cf_invoice_amount_2211666">Invoice Amount</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_invoice_amount_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_amount_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_type_zap_or_zgufi_submission_2211666-label " for="helpdesk_ticket_cf_type_zap_or_zgufi_submission_2211666">Type</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_type_zap_or_zgufi_submission_2211666]" id="helpdesk_ticket_custom_field_cf_type_zap_or_zgufi_submission_2211666"><option value="">...</option> <option data-id="73000329151" value="Form/Approval Issue">Form/Approval Issue</option> <option data-id="73000329153" value="Incorrect Information Submitted">Incorrect Information Submitted</option> <option data-id="73000329152" value="Rejected Request">Rejected Request</option> <option data-id="73000329154" value="Status of Approved/Posted Request">Status of Approved/Posted Request</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_vendorsupplier_email_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_email_2211666">Vendor/Supplier Email</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_email_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_email_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_zap_request_number_2211666-label " for="helpdesk_ticket_cf_zap_request_number_2211666">ZAP/ZGUFI Request Number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_zap_request_number_2211666]" id="helpdesk_ticket_custom_field_cf_zap_request_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_vendorsupplier_number_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_number_2211666">Vendor/Supplier Number</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_number_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_vendor_supplier_name_2211666-label " for="helpdesk_ticket_cf_vendor_supplier_name_2211666">Vendor/Supplier Name</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendor_supplier_name_2211666]" id="helpdesk_ticket_custom_field_cf_vendor_supplier_name_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_invoice_number_2211666-label " for="helpdesk_ticket_cf_invoice_number_2211666">Invoice Number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_invoice_number_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_invoice_date_2211666-label " for="helpdesk_ticket_cf_invoice_date_2211666">Invoice Date</label> <div class="controls support-date-field "> <input type="text" name="helpdesk_ticket[custom_field][cf_invoice_date_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_date_2211666" class=" date section_field datepicker_popover" readonly="readonly" data-show-image="true" data-date-format="d M, yy" placeholder="" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_invoice_amount_2211666-label " for="helpdesk_ticket_cf_invoice_amount_2211666">Invoice Amount</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_invoice_amount_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_amount_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_type_1099_2211666-label " for="helpdesk_ticket_cf_type_1099_2211666">Type</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_type_1099_2211666]" id="helpdesk_ticket_custom_field_cf_type_1099_2211666"><option value="">...</option> <option data-id="73000329168" value="Request for 1099">Request for 1099</option> <option data-id="73000329169" value="Request for corrected 1099">Request for corrected 1099</option> <option data-id="73000329170" value="Year End Consolidation Files for 1099">Year End Consolidation Files for 1099</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_business_unit_contact_2211666-label " for="helpdesk_ticket_cf_business_unit_contact_2211666">Business Unit Contact</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_business_unit_contact_2211666]" id="helpdesk_ticket_custom_field_cf_business_unit_contact_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_business_unit_contact_phone_number_2211666-label " for="helpdesk_ticket_cf_business_unit_contact_phone_number_2211666">Business Unit Contact phone number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_business_unit_contact_phone_number_2211666]" id="helpdesk_ticket_custom_field_cf_business_unit_contact_phone_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_vendorsupplier_email_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_email_2211666">Vendor/Supplier Email</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_email_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_email_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_vendorsupplier_number_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_number_2211666">Vendor/Supplier Number</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_number_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_vendor_supplier_name_2211666-label " for="helpdesk_ticket_cf_vendor_supplier_name_2211666">Vendor/Supplier Name</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendor_supplier_name_2211666]" id="helpdesk_ticket_custom_field_cf_vendor_supplier_name_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_individual_name_business_name_2211666-label " for="helpdesk_ticket_cf_individual_name_business_name_2211666">Individual Name /Business Name</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_individual_name_business_name_2211666]" id="helpdesk_ticket_custom_field_cf_individual_name_business_name_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_social_security_number_or_employer_identification_number_2211666-label " for="helpdesk_ticket_cf_social_security_number_or_employer_identification_number_2211666">Social Security Number (Last 4) or Employer Identification Number (No Dash)</label> <div class="controls "> <input class=" required number section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_social_security_number_or_employer_identification_number_2211666]" id="helpdesk_ticket_custom_field_cf_social_security_number_or_employer_identification_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_complete_address_2211666-label " for="helpdesk_ticket_cf_complete_address_2211666">Complete Address</label> <div class="controls "> <textarea class=" required paragraph section_field span12" rows="6" placeholder="" name="helpdesk_ticket[custom_field][cf_complete_address_2211666]" id="helpdesk_ticket_custom_field_cf_complete_address_2211666"> </textarea> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_invoice_number_2211666-label " for="helpdesk_ticket_cf_invoice_number_2211666">Invoice Number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_invoice_number_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_invoice_date_2211666-label " for="helpdesk_ticket_cf_invoice_date_2211666">Invoice Date</label> <div class="controls support-date-field "> <input type="text" name="helpdesk_ticket[custom_field][cf_invoice_date_2211666]" id="helpdesk_ticket_custom_field_cf_invoice_date_2211666" class=" date section_field datepicker_popover" readonly="readonly" data-show-image="true" data-date-format="d M, yy" placeholder="" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_purchase_order_number_2211666-label " for="helpdesk_ticket_cf_purchase_order_number_2211666">Purchase Order Number</label> <div class="controls "> <input class=" text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_purchase_order_number_2211666]" id="helpdesk_ticket_custom_field_cf_purchase_order_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_vendorsupplier_number_2211666-label " for="helpdesk_ticket_cf_vendorsupplier_number_2211666">Vendor/Supplier Number</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_vendorsupplier_number_2211666]" id="helpdesk_ticket_custom_field_cf_vendorsupplier_number_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" control-label cf_isinvoice_2211666-label " for="helpdesk_ticket_cf_isinvoice_2211666">isInvoice</label> <div class="controls "> <select class=" dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_isinvoice_2211666]" id="helpdesk_ticket_custom_field_cf_isinvoice_2211666"><option value="">...</option> <option data-id="73000329510" value="True">True</option> <option data-id="73000329511" value="False">False</option></select> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_full_name_2211666-label " for="helpdesk_ticket_cf_full_name_2211666">Full Name</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_full_name_2211666]" id="helpdesk_ticket_custom_field_cf_full_name_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_work_phone_2211666-label " for="helpdesk_ticket_cf_work_phone_2211666">Work Phone</label> <div class="controls "> <input class=" required text section_field span12" placeholder="" type="text" name="helpdesk_ticket[custom_field][cf_work_phone_2211666]" id="helpdesk_ticket_custom_field_cf_work_phone_2211666" /> </div> </div> <div class="control-group ticket_section"> <label class=" required control-label cf_region_2211666-label " for="helpdesk_ticket_cf_region_2211666">Country/Region</label> <div class="controls "> <select class=" required dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_region_2211666]" id="helpdesk_ticket_custom_field_cf_region_2211666"><option value="">...</option> <option data-id="73000329550" value="Argentina - AR">Argentina - AR</option> <option data-id="73000329520" value="Australia - AU">Australia - AU</option> <option data-id="73000329521" value="Austria - AT">Austria - AT</option> <option data-id="73000329522" value="Belgium - BE">Belgium - BE</option> <option data-id="73000329566" value="Bermuda- BM">Bermuda- BM</option> <option data-id="73000329551" value="Brazil - BR">Brazil - BR</option> <option data-id="73000526726" value="Bulgaria - BG">Bulgaria - BG</option> <option data-id="73000329523" value="Canada - CA">Canada - CA</option> <option data-id="73000329567" value="Cayman Islands- KY">Cayman Islands- KY</option> <option data-id="73000329552" value="Chile - CL">Chile - CL</option> <option data-id="73000329524" value="China - CN">China - CN</option> <option data-id="73000329553" value="Colombia - CO">Colombia - CO</option> <option data-id="73000526727" value="Croatia - HR">Croatia - HR</option> <option data-id="73001008954" value="Czech Republic - CZ">Czech Republic - CZ</option> <option data-id="73000329525" value="Denmark - DK">Denmark - DK</option> <option data-id="73000329526" value="Finland - FI">Finland - FI</option> <option data-id="73000329549" value="France - FR">France - FR</option> <option data-id="73000329527" value="Germany - DE">Germany - DE</option> <option data-id="73000329560" value="Greece - GR">Greece - GR</option> <option data-id="73000329528" value="Hong Kong - HK">Hong Kong - HK</option> <option data-id="73000329559" value="Hungary - HU">Hungary - HU</option> <option data-id="73000329529" value="India - IN">India - IN</option> <option data-id="73000329530" value="Indonesia - ID">Indonesia - ID</option> <option data-id="73000329531" value="Ireland - IE">Ireland - IE</option> <option data-id="73000329561" value="Israel - IL">Israel - IL</option> <option data-id="73000329532" value="Italy - IT">Italy - IT</option> <option data-id="73000329533" value="Japan - JP">Japan - JP</option> <option data-id="73001010719" value="Jordan - JO">Jordan - JO</option> <option data-id="73000329534" value="Malaysia - MY">Malaysia - MY</option> <option data-id="73001008186" value="Malta - MT">Malta - MT</option> <option data-id="73000329554" value="Mexico - MX">Mexico - MX</option> <option data-id="73000329535" value="Netherlands - NL">Netherlands - NL</option> <option data-id="73000329536" value="New Zealand - NZ">New Zealand - NZ</option> <option data-id="73000329537" value="Norway - NO">Norway - NO</option> <option data-id="73000329562" value="Panama- PA">Panama- PA</option> <option data-id="73000329555" value="Peru - PE">Peru - PE</option> <option data-id="73000329538" value="Philippines - PH">Philippines - PH</option> <option data-id="73000329563" value="Poland - PL">Poland - PL</option> <option data-id="73000329558" value="Portugal - PT">Portugal - PT</option> <option data-id="73000329564" value="Russia- RU">Russia- RU</option> <option data-id="73000526728" value="Serbia - RS">Serbia - RS</option> <option data-id="73000329539" value="Singapore - SG">Singapore - SG</option> <option data-id="73000526729" value="Slovenia - SI">Slovenia - SI</option> <option data-id="73000329540" value="South Africa - ZA">South Africa - ZA</option> <option data-id="73000329541" value="South Korea - KR">South Korea - KR</option> <option data-id="73000329542" value="Spain - ES">Spain - ES</option> <option data-id="73000329543" value="Sweden - SE">Sweden - SE</option> <option data-id="73000329544" value="Switzerland - CH">Switzerland - CH</option> <option data-id="73000329545" value="Taiwan - TW">Taiwan - TW</option> <option data-id="73000329546" value="Thailand - TH">Thailand - TH</option> <option data-id="73000329570" value="Turkey - TR">Turkey - TR</option> <option data-id="73000329557" value="United Arab Emirates - UAE">United Arab Emirates - UAE</option> <option data-id="73000329547" value="United Kingdom - GB">United Kingdom - GB</option> <option data-id="73000329548" value="USA - US">USA - US</option> <option data-id="73000329556" value="Venezuela - VE">Venezuela - VE</option> <option data-id="73000329565" value="Vietnam - VN">Vietnam - VN</option> <option data-id="73000329568" value="British Virgin Islands - VG">British Virgin Islands - VG</option> <option data-id="73000329569" value="US Virgin Islands - VI">US Virgin Islands - VI</option></select> </div> </div> Company Name Additional Information * Bold (Ctrl-B) * Italic (Ctrl-I) * Underline(Ctrl-U) * * • Unordered List (Ctrl-Shift-7) * 1. Ordered List (Ctrl-Shift-8) * * Font Color * Back Color * * Link + Attach a file isSignup ... true false Cancel Home My Tickets Login issues with the PTP Customer Service Inquiry and DSMP: Please email TWDC.PTP.Tools.Access@disney.com (Access issues only will be accepted.) Phone support: 321-939-7013 (Tuesday and Thursday 8am – 12pm & 1pm - 5pm Eastern Time Zone) Insert Link ...Unlink