Case Intake FormREF: APM-PENDING

File a Case Report

Document what went wrong. Anonymous submissions accepted. Please redact sensitive information in screenshots before upload. If you provide an email, you'll receive a private edit link for follow-up changes.

What makes a strong case

→A specific, real incident — not a general complaint
→The exact instruction or prompt that triggered the failure
→What the agent actually did vs. what was intended
→Concrete impact: financial, operational, or reputational

1Agent Involved

Which AI agent failed?*

2Summary

One-line title*

0/120

Prompt / Instruction given (optional)

What actually happened?*

3Damage Assessment

Severity level*

3 — Moderate

Significant disruption or cost

Estimated financial damage (optional)

USD. Best estimate — leave blank if unknown.

4Classification Tags

5Evidence / Screenshots (optional)

Click to uploadPNG, JPG, WEBP

Max 5MB per file · 5 remaining

Please redact sensitive information in screenshots before uploading. Image files are stored as submitted.

6Attribution

Email (optional — for edit token) (optional — for private edit link)

Used only to send your private edit link. Not stored after delivery.

All submissions are reviewed before publication · PII automatically redacted