Data Export Report Request

Request to create a Data Export Report in Collexus

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* 1. Your Name:

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* 2. Department:

Consumer

Commercial

Insurance

Parking

Sales

Finance

Other (please specify)

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* 3. Report Name/Code

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* 4. Detailed Description (what fields do you want to produce?)

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* 5. Why does this need to be set up?

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* 6. Additional Information:

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* 7. Date Required:

Date

Date