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EDI Work Request Form

GS1 Canada Received Date: 2024-09-10

SUBMITTER
Submission Date: 2024-09-10
Work Request Subject/Title:
Name:
Representing Company:
Title:
Address:
Suite:
City:
Country:
Province:
Postal Code:
Phone:
Ext:
Email:
Company Type:
Other, please indicate:
Industry Type:
Other, please indicate:
Co-Submitter
Name:
Representing Company:
Title:
Address:
Suite:
City:
Country:
Province:
Postal Code:
Phone:
Ext:
Email:
Company Type:
Other, please indicate:
Industry Type:
Other, please indicate:
Legal or regulatory compliance requirement – (Optional)
Describe identified regulation and provide the relevant regulation text with a link (Example: Regulation # 123; this regulation is to identify the ….. URL = ….)
Provide the regulation implementation date
PROBLEM STATEMENT AND BUSINESS IMPACT DESCRIPTION (Mandatory)
Describe the business problem and impact on business processes, products and/or product categories.
WHAT IS THE PROPOSED ACTION OR CHANGE (Mandatory)
Provide information of the specific new requirement or identify a current requirement’s changes.
(Example: In ECCnet Registry request a new code …. Or modify existing code from mandatory to optional)

EDI Version Number:
Transaction Set ID & NAME:
Segment ID & NAME:
Data Element ID & NAME:
Data Element Name:
Note: Provide details for each change if more than one transaction or area affected:
Risk Assessment (Optional)
Provide details of the risks of not implementing the requirement presented
Are there any risks in implementing the requirement presented? If yes, please provide details
Provide any critical dates or deadlines to be considered
Priority Level justification (Mandatory)
Identify the priority level of the requested requirement, Select Only One.



Provide detailed justification for the priority level identified
Attachments: Add attachments or advise no attachments included. Up to 10 attachments
Disclaimer
On behalf of the Company or Industry Group identified above, the submitter warrants that he/she has the right to submit the above material for changes to existing, or development of new, standards. By submitting the above material, you warrant that either the material is not copyrighted or that the owner of any copyrighted material hereby gives a royalty free license to GS1 Canada to use the submitted material in a GS1 standards.

GS1 standards are open and available for use. Our standards are copyrighted to prevent misuse of the standard. GS1 will freely grant any legitimate request for use of its standards.