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Report an Issue Form Template

Streamline problem reporting for your team or users

Experiencing frequent issues can frustrate both users and your team. This Report an Issue Form Template is designed to help you quickly gather important information about problems your users encounter. With this template, you can streamline problem reporting, enhance communication, and facilitate timely resolutions, all while maintaining WCAG-aligned accessibility. Start improving your issue resolution process with our live template.

Use this Template (FREE) Live Preview
Full name
Email address
What type of issue are you reporting?
Bug or defect
Outage or unavailable
Performance or slowness
Data or accuracy problem
Security or privacy concern
Billing or payment issue
Feature request
Other or not sure
Brief issue title
Describe the issue
How often does the issue occur?
Very rarely
Rarely
Sometimes
Often
Very often
Not sure
How many people are affected?
Only me
A few people
Many people
All users
Not sure
How severe is the impact?
Cannot proceed (blocker)
Major disruption
Minor problem
Cosmetic issue
Not sure
Where did you encounter the issue?
Web app
Website
Desktop app
Mobile app (iOS)
Mobile app (Android)
API or integration
Not sure
Other
Please Specify:
Page, screen, or URL where the issue occurs
Device and operating system
App or build version (if applicable)
Browser used (if applicable)
Chrome
Firefox
Safari
Edge
Not applicable
Other
Please Specify:
Steps to reproduce the issue
Links to screenshots, videos, or files (URLs only)
Type your full name to sign
Date
I confirm the information provided is accurate to the best of my knowledge.
True
False
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Paper art illustration depicting a report an issue form for FormCreatorAI article

When to use this form

This form helps you capture problems fast and route them to the right team. Use it when a feature breaks, a page loads wrong, data looks off, or a service is unavailable. Example: report an outage or latency spike using the Google down report form . If search shows spammy or irrelevant results, see a case like the Search results report form. Colleagues, customers, and support agents benefit by providing consistent details, triage-ready context, and contact info. The outcome: quicker diagnosis, clear prioritization, and a record you can use to plan fixes and follow-up.

Must Ask Report an Issue Questions

  1. What happened, step by step?

    Clear steps and expected vs. actual results make the issue reproducible, which speeds up diagnosis. If it turns out to be a product defect, you can hand off technical details using the Bug report form.

  2. Where did the issue occur (URL, screen, device, browser, app version)?

    Environment and location data narrow the search and let engineers replicate the problem. It also helps route the report to the correct owner faster.

  3. When did it start, and is it ongoing? Include date, time, and time zone.

    Timing ties the event to logs, deployments, and traffic spikes. It also signals urgency if the problem is still live.

  4. Who is affected and how severe is the impact?

    Knowing users impacted and business risk supports triage, SLAs, and escalation. This ensures high-severity issues get priority.

  5. What evidence can you share (screenshots, error messages, IDs, logs)?

    Artifacts cut back-and-forth and allow precise matches in monitoring tools. If the fix needs follow-up actions, track them with the Corrective action form.

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