Please use the attached form to submit a request for discrepancy investigation.

Example Discrepancy Request Form

Name:

 


Company:

 


Email Address:

 


Phone Number:

 


Advertiser:

 


Agency:

 


Media Plan Name:

 


XR Media Plan ID #:

 


Vendor Name (if applicable):

 


Discrepancy Dates:

 


Describe discrepancy you’d like investigated:

 


 

*Please provide reporting broken out by day and placement for the discrepancy time period.*

 

Email completed form to: VideoTeam@extremereach.com

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