PBS PROBLEM WORKSHEET The results of this form will be sent to the PBS Support Team who will contact you for more information if needed.
1)	First Name
2)	Last Name
3)	Email Address:
4)	Clock or Employee ID:
5)	Best contact phone number:
6)	Where Are You Based?
	{select_base} MSP DTW NYC BOS MEM SEA SFO LAX HNL {/select_base}
7)	Bid Month of Issue
	{select_month} Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec {/select_month}
7)	Were you below the feasiblity point?
	{select_below_feasiblity} YES NO {/select_below_feasiblity}
8)	FLIGHT ATTENDANT'S STATEMENT OF ISSUE: (Please be as specific as possible. i.e. PBS support person contacted)
9)	Did you submit a RESOLUTION ? If so, please state result: :
11)	did you Bid a Reserve Day (RD)
	{select_rd} YES NO {/select_rd}