*required field
Case Record Type
Report Request
Subject
Contact Name
Email*
Report Needed By
(MM/DD/YYYY)
:
Reports to be Provided:
Direct Mail Marketing Activity
Digital Marketing Activity
Billing Overview
Value Add Overview
Heat Maps
Allied Solutions C-Suite Report
Quick Summary
Marketing Year To Highlight:
(If Marketing Results is Selected)
Current Year
Last Year
Description
Artemis Client ID*:
Priority
--None--
High
Medium
Low
Products:
ALL
AD&D
ALIFE
HAP
RECUP CARE
TERM
OTHER
Report Frequency:
--None--
One Time
Monthly
Quarterly
Semi-Annual
Annually
