Legacy Qwest Payroll Issues Question Title * 1. Have you ever had a payroll issue? YES NO Question Title * 2. How many times? ONCE TWICE MORE THAN TWICE Question Title * 3. Who was it caused by? RAS MANAGER CODING ERROR POSTAL DELAY SYSTEM ERROR OTHER Question Title * 4. How long did it take to resolve issue? BY PAYDAY MID PAY PERIOD NEXT PAYPERIOD TWO PAY PERIODS Other (please specify) Question Title * 5. Did you incur fees, costs, or charges as a result of the payroll issue? Y,ES NO Other (please specify) Question Title * 6. Please let us know any additional comments that you have regarding payroll issues: Question Title * 7. Please fill in the following, so we can contact you if needed for follow up: Name: Local: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Email Address: Phone Number: Done