Report a Problem
ADMIN ONLY
Preload Successful
Yes
Record Type ID
Case Origin
Business Hours ID
Attachment Negation Key
Submitter User ID
Submitter Contact ID
Department (A)
Submitter Contact Name
Submitter Contact Email
Submitter Contact Phone
LookUp Email
Timestamp
Admin:expire
Admin:tfa_1563
Admin:pocid
Admin:pocemail
Admin:pocname
Admin:pocphone
Category
Employee's Name Hidden - Dynamic
Employee's Email Hidden - Dynamic
Employee's ID Hidden - Dynamic
pocflag
Yes
No
Submitter Information
Name
Email address
Phone number
Name
Email address
Phone number
Point Of Contact Information
Are you the point of contact for this case?
Yes
No
Point of Contact Name /Email
Point of Contact Name
Point of Contact Work Email
Affected Employee Information
Contact Type
Academic
Staff
Student
Other / I Don't Know
Submitting request on behalf of?
Self
Another
Employee's Name/Email
Employee Name
Employee UC Davis Email
To determine an employee's email address, please visit
UC Davis Online Directory
.
Are you employed at?
Please select...
Health
Campus
Other / I Don't Know
Employee Bargaining Unit
Please select...
Multiple
99s - Non Represented
BR
BX
CX
DX
EX
F3
HX
K3
NX
PA
RX
SA
SV
SX
TX
Patient Care Technical
EX
(AFSCME), Service Unit
SX
(AFSCME), Clerical & Allied Services
CX
(Teamsters), Health Care Professionals
HX
(UPTE)
Research Support Professionals
RX
(UPTE), Technical Unit
TX
(UPTE), Nurses
NX
(CNA),
Unrepresented Employees
99
Employee Bargaining Unit
Please select...
Multiple
99s - Non Represented
BR
BX
IX
LX
PX
RA
Patient Care Technical
EX
(AFSCME), Service Unit
SX
(AFSCME), Clerical & Allied Services
CX
(Teamsters), Health Care Professionals
HX
(UPTE)
Research Support Professionals
RX
(UPTE), Technical Unit
TX
(UPTE), Nurses
NX
(CNA),
Unrepresented Employees
99
Report a Problem
Problem Type/Topic:
AggieService
Benefits
Human Resources
Leaves
Payroll
Purchasing
Other
Please describe your issue in detail:
Previous Case Number
If applicable
Is there anything else you'd like us to know about this request?
Client Reference Tag
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Attachment
Contact Information