app.smartsheet.com
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3.226.133.66
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Submitted URL: https://www.amphelpdesk.com/
Effective URL: https://app.smartsheet.com/b/form/278bbce3d2e747a9940b5dfd9c3b7d52
Submission: On July 04 via automatic, source certstream-suspicious — Scanned from DE
Effective URL: https://app.smartsheet.com/b/form/278bbce3d2e747a9940b5dfd9c3b7d52
Submission: On July 04 via automatic, source certstream-suspicious — Scanned from DE
Form analysis 1 forms found in the DOM
<form>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Rep/AMP user's first name" data-client-type="text" id="wMrdDbq" class="css-1e3khfm ef83ajd0"><label for="text_box_Rep/AMP user's first name" data-client-id="label_Rep/AMP user's first name"
class="css-1xl1v40 ekxsfat0">Rep/AMP user's first name<span data-client-id="required_indicator" class="css-skcghl ekxsfat1">*</span></label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Rep/AMP user's first name" data-testid="text_box_Rep/AMP user's first name" data-client-id="text_box_Rep/AMP user's first name" data-client-type=""
name="wMrdDbq" maxlength="4000" class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Rep/AMP user’s last name" data-client-type="text" id="eAQKq6w" class="css-1e3khfm ef83ajd0"><label for="text_box_Rep/AMP user’s last name" data-client-id="label_Rep/AMP user’s last name"
class="css-1xl1v40 ekxsfat0">Rep/AMP user’s last name<span data-client-id="required_indicator" class="css-skcghl ekxsfat1">*</span></label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Rep/AMP user’s last name" data-testid="text_box_Rep/AMP user’s last name" data-client-id="text_box_Rep/AMP user’s last name" data-client-type=""
name="eAQKq6w" maxlength="4000" class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Rep/AMP user’s business email" data-client-type="text" id="M9qD5r9" class="css-1e3khfm ef83ajd0"><label for="text_box_Rep/AMP user’s business email" data-client-id="label_Rep/AMP user’s business email"
class="css-1xl1v40 ekxsfat0">Rep/AMP user’s business email<span data-client-id="required_indicator" class="css-skcghl ekxsfat1">*</span></label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Rep/AMP user’s business email" data-testid="text_box_Rep/AMP user’s business email" data-client-id="text_box_Rep/AMP user’s business email"
data-client-type="EMAIL" name="M9qD5r9" maxlength="4000" class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_First and last name of submitter if you are not the Rep/AMP User" data-client-type="text" id="baAQprL" class="css-1e3khfm ef83ajd0"><label
for="text_box_First and last name of submitter if you are not the Rep/AMP User" data-client-id="label_First and last name of submitter if you are not the Rep/AMP User" class="css-1xl1v40 ekxsfat0">First and last name of submitter if you are
not the Rep/AMP User</label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_First and last name of submitter if you are not the Rep/AMP User" data-testid="text_box_First and last name of submitter if you are not the Rep/AMP User"
data-client-id="text_box_First and last name of submitter if you are not the Rep/AMP User" data-client-type="" name="baAQprL" maxlength="4000" class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Submitter’s email address" data-client-type="text" id="yq2GWp0" class="css-1e3khfm ef83ajd0"><label for="text_box_Submitter’s email address" data-client-id="label_Submitter’s email address"
class="css-1xl1v40 ekxsfat0">Submitter’s email address</label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Submitter’s email address" data-testid="text_box_Submitter’s email address" data-client-id="text_box_Submitter’s email address" data-client-type=""
name="yq2GWp0" maxlength="4000" class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div role="application" title="" data-client-id="container_Select affected AMP presentation(s)" data-client-type="dropdown" id="G3y0qm3" class="css-u3yn36 ef83ajd0"><label for="select_input_Select affected AMP presentation(s)"
id="9aeba042-0756-475f-878c-052290767bc6" data-client-id="label_Select affected AMP presentation(s)" class="css-1xl1v40 ekxsfat0">Select affected AMP presentation(s)<span data-client-id="required_indicator"
class="css-skcghl ekxsfat1">*</span></label>
<div class="css-t8xanh-container">
<div class="css-kf2egt-control react-select__control">
<div class="css-11ksah1 react-select__value-container react-select__value-container--is-multi">
<div class="css-1i5h0xy-placeholder react-select__placeholder">Select</div>
<div class="css-1g6gooi">
<div class="react-select__input" style="display: inline-block;"><input autocapitalize="none" autocomplete="off" autocorrect="off" id="select_input_Select affected AMP presentation(s)" spellcheck="false" tabindex="0" type="text"
aria-label="Select" aria-labelledby="9aeba042-0756-475f-878c-052290767bc6" value=""
style="box-sizing: content-box; width: 2px; background: 0px center; border: 0px; font-size: inherit; opacity: 1; outline: 0px; padding: 0px; color: inherit;">
<div
style="position: absolute; top: 0px; left: 0px; visibility: hidden; height: 0px; overflow: scroll; white-space: pre; font-size: 13px; font-family: Arial; font-weight: 400; font-style: normal; letter-spacing: normal; text-transform: none;">
</div>
</div>
</div>
</div>
<div class="css-1wy0on6 react-select__indicators"><span class="css-9lpq22-indicatorSeparator react-select__indicator-separator"></span><span style="margin-right: 6px;"><svg data-client-id="caret_icon" width="16px" height="16px"
viewBox="0 0 16 16" version="1.1" role="img" xmlns="http://www.w3.org/2000/svg">
<title>Caret Icon</title>
<desc>Caret symbol</desc>
<g stroke="none" stroke-width="1" fill="none" fill-rule="evenodd">
<g fill="#161616">
<path
d="M8.38951287,9.81740951 C8.3743818,9.83527284 8.35811596,9.85207547 8.34082332,9.86770589 C8.12569934,10.0621513 7.79871352,10.0396329 7.61048004,9.81740951 L5.12806062,6.88673235 C5.04550447,6.78926879 5,6.66416424 5,6.53465776 C5,6.23937443 5.23172713,6 5.51757703,6 L10.4824159,6 C10.607785,6 10.7288928,6.04700617 10.8232427,6.13228679 C11.0383667,6.32673222 11.0601658,6.664509 10.8719323,6.88673235 L8.38951287,9.81740951 Z">
</path>
</g>
</g>
</svg></span></div>
</div>
</div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Rep’s current territory ID" data-client-type="text" id="jADrXd3" class="css-1e3khfm ef83ajd0"><label for="text_box_Rep’s current territory ID" data-client-id="label_Rep’s current territory ID"
class="css-1xl1v40 ekxsfat0">Rep’s current territory ID</label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Rep’s current territory ID" data-testid="text_box_Rep’s current territory ID" data-client-id="text_box_Rep’s current territory ID" data-client-type=""
name="jADrXd3" maxlength="4000" class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_RAE Name" data-client-type="text" id="PDlLD30" class="css-1e3khfm ef83ajd0"><label for="text_box_RAE Name" data-client-id="label_RAE Name" class="css-1xl1v40 ekxsfat0">RAE Name</label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_RAE Name" data-testid="text_box_RAE Name" data-client-id="text_box_RAE Name" data-client-type="" name="PDlLD30" maxlength="4000"
class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_RAE Email address" data-client-type="text" id="bKkpZjG" class="css-1e3khfm ef83ajd0"><label for="text_box_RAE Email address" data-client-id="label_RAE Email address" class="css-1xl1v40 ekxsfat0">RAE Email
address</label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_RAE Email address" data-testid="text_box_RAE Email address" data-client-id="text_box_RAE Email address" data-client-type="EMAIL" name="bKkpZjG"
maxlength="4000" class="css-1p0590h e1407lhe0" value=""></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Detailed description of the issue" data-client-type="text" id="jAZ7Jwr" class="css-1e3khfm ef83ajd0"><label for="textarea_Detailed description of the issue" data-client-id="label_Detailed description of the issue"
class="css-1xl1v40 ekxsfat0">Detailed description of the issue</label><textarea aria-invalid="false" tabindex="0" name="jAZ7Jwr" id="textarea_Detailed description of the issue" data-client-id="textarea_Detailed description of the issue"
maxlength="4000" rows="10" class="css-1lh64kx e1407lhe1">[Please include steps taken and attach screenshots if necessary]</textarea></div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_File upload" data-client-type="file_upload" id="ATTACHMENT" class="css-1ylo82b ef83ajd0"><label for="file_upload_File upload" data-client-id="label_File upload" class="css-1xl1v40 ekxsfat0">File upload</label>
<div class="rich-text-field-desc css-i0kenq" id="description_file_upload_File_upload">
<p>Please upload any screenshots taken</p>
</div>
<div class="css-vqlje4" tabindex="0" data-client-id="file_upload_dropzone" aria-describedby="description_file_upload_File_upload" aria-disabled="false" style="position: relative;">
<div class="css-hvudvc eo18oon8"><span class="css-1btvv3a eo18oon1"><span>Drag and drop files here or </span> <button tabindex="0" type="button" class="css-uro7iq eo18oon0"><span>browse files</span></button></span></div><input
id="file_upload_File upload" tabindex="0" type="file" multiple="" autocomplete="off" style="position: absolute; inset: 0px; opacity: 1e-05; pointer-events: none;">
</div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_If this is a printing issue, please indicate what iPad browser you are using" data-client-type="text" id="DRzEGwr" class="css-1e3khfm ef83ajd0"><label
for="text_box_If this is a printing issue, please indicate what iPad browser you are using" data-client-id="label_If this is a printing issue, please indicate what iPad browser you are using" class="css-1xl1v40 ekxsfat0">If this is a printing
issue, please indicate what iPad browser you are using</label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_If this is a printing issue, please indicate what iPad browser you are using"
data-testid="text_box_If this is a printing issue, please indicate what iPad browser you are using" data-client-id="text_box_If this is a printing issue, please indicate what iPad browser you are using" data-client-type="" name="DRzEGwr"
maxlength="4000" class="css-1p0590h e1407lhe0" value="[Edge, Safari, etc]"></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Please indicate any changes in the user’s status in the past 30 days" data-client-type="text" id="7y5Q77y" class="css-1e3khfm ef83ajd0"><label
for="text_box_Please indicate any changes in the user’s status in the past 30 days" data-client-id="label_Please indicate any changes in the user’s status in the past 30 days" class="css-1xl1v40 ekxsfat0">Please indicate any changes in the
user’s status in the past 30 days</label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Please indicate any changes in the user’s status in the past 30 days"
data-testid="text_box_Please indicate any changes in the user’s status in the past 30 days" data-client-id="text_box_Please indicate any changes in the user’s status in the past 30 days" data-client-type="" name="7y5Q77y" maxlength="4000"
class="css-1p0590h e1407lhe0" value="[Email address changed, transferred, name change, etc]"></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Rep/User’s contact information should we need to reach out directly" data-client-type="text" id="M9D1GyO" class="css-1e3khfm ef83ajd0"><label
for="text_box_Rep/User’s contact information should we need to reach out directly" data-client-id="label_Rep/User’s contact information should we need to reach out directly" class="css-1xl1v40 ekxsfat0">Rep/User’s contact information should
we need to reach out directly</label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Rep/User’s contact information should we need to reach out directly"
data-testid="text_box_Rep/User’s contact information should we need to reach out directly" data-client-id="text_box_Rep/User’s contact information should we need to reach out directly" data-client-type="" name="M9D1GyO" maxlength="4000"
class="css-1p0590h e1407lhe0" value="[Please provide phone number]"></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="container_Best time to contact" data-client-type="text" id="pJqMrnw" class="css-1e3khfm ef83ajd0"><label for="text_box_Best time to contact" data-client-id="label_Best time to contact" class="css-1xl1v40 ekxsfat0">Best time
to contact</label>
<div style="display: flex;"><input title="" aria-invalid="false" tabindex="0" id="text_box_Best time to contact" data-testid="text_box_Best time to contact" data-client-id="text_box_Best time to contact" data-client-type="" name="pJqMrnw"
maxlength="4000" class="css-1p0590h e1407lhe0" value="[Days/time/zone available for a call]"></div>
</div>
</div>
<div class="css-1o5h39n e1tmc1mx0">
<div data-client-id="email_receipt_section">
<div data-client-id="container_email_receipt" data-client-type="divider" class="css-1e2fy0l e14sboee0">
<hr data-client-id="email_receipt" class="css-1xs1ymt e14sboee2">
</div>
<div class="css-1gl0c9l excyp8g0"><label class="css-1y93uaa excyp8g1"><input data-client-id="email_receipt_checkbox" name="EMAIL_RECEIPT_CHECKBOX" type="checkbox" class="css-1czgm8r excyp8g2" value="false"><span>Send me a copy of my
responses</span></label></div>
</div>
</div>
<div class="css-1ock8o4 e1xpzprc2"><button data-client-id="form_submit_btn" type="submit" value="submit" class="css-oltpmt e1xpzprc0"><span>Submit</span></button></div>
<div data-client-id="footer" class="css-ybae4b e8i4qwl0">
<div class="css-1kw6mnl e8i4qwl1">
<div class="css-qoiejo e8i4qwl3"><span>Powered by
</span><a target="_blank" href="https://www.smartsheet.com/platform?s=154" rel="noopener noreferrer" data-client-id="footer_poweredBy" aria-label="logo" class="css-a7ff3e e8i4qwl2"><svg role="img" xmlns="http://www.w3.org/2000/svg" version="1.1" width="80" height="35" viewBox="0 -55 406 179" style="margin-top: 2px; margin-left: 5px;"><title id="smartsheet-modern-logo-light">Smartsheet Modern Logo On Light</title><path fill="#003059" d="M85.4,29.7c-0.8-0.9-1.7-1.7-2.8-2.3c-1.2-0.6-2.6-1-4-0.9c-1.4,0-2.7,0.3-3.9,0.9c-1,0.5-1.7,1.6-1.6,2.7 c0,0.9,0.3,1.7,1,2.3c0.6,0.6,1.4,1.1,2.2,1.4c0.9,0.4,1.8,0.7,2.8,0.8l2.5,0.5c1.3,0.3,2.6,0.7,3.8,1.2c1.1,0.4,2.2,1,3.1,1.8 c0.9,0.7,1.5,1.7,2,2.7c0.5,1.2,0.8,2.5,0.7,3.9c0,1.7-0.4,3.3-1.2,4.7c-0.8,1.3-1.8,2.4-3.1,3.2c-1.3,0.9-2.8,1.5-4.3,1.8 c-1.6,0.4-3.2,0.6-4.9,0.5c-2.5,0.1-4.9-0.4-7.2-1.2c-2.2-1-4.2-2.5-5.6-4.6l4.8-3.9c1,1,2.2,1.9,3.4,2.7c1.4,0.8,3,1.2,4.6,1.2 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