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Submission information
Submission Number: 1702
Submission ID: 136191
Submission UUID: 78717ae9-387c-4579-be6a-54e5e17af896
Submission URI: /en/form/service-request-form
Créé: Wed, 08/12/2026 - 16:19
Terminé: Wed, 08/12/2026 - 16:19
Changed: Wed, 08/12/2026 - 16:30
Remote IP address: 172.17.0.2
Submitted by: Anonyme
Langue: French
Is draft: No
Webform: Service Request form
| Top Header Text | New request |
|---|---|
| Your request concerns | Claim |
| Your last name | dsfasf |
| Your first name | Order |
| Your email | bicstest681@gmail.com |
| Order number or description | sdfdas |
| Phone number | 03 89 41 96 |
| Desired solution | |
| Your message | sdfdsa |
| Attachment | |
| User id | 321 |
| Status | Nouveau |
| Ticket id | 00002253 |
| SF Case Id | 500AW00000ipUHTYA2 |
| Help text | Annuler |