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diff --git a/extensions/BMO/template/en/default/bug/create/comment-webops-request.txt.tmpl b/extensions/BMO/template/en/default/bug/create/comment-webops-request.txt.tmpl
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+++ b/extensions/BMO/template/en/default/bug/create/comment-webops-request.txt.tmpl
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+[%# This Source Code Form is subject to the terms of the Mozilla Public
+ # License, v. 2.0. If a copy of the MPL was not distributed with this
+ # file, You can obtain one at http://mozilla.org/MPL/2.0/.
+ #
+ # This Source Code Form is "Incompatible With Secondary Licenses", as
+ # defined by the Mozilla Public License, v. 2.0.
+ #%]
+[% PROCESS global/variables.none.tmpl %]
+[% USE Bugzilla %]
+[% cgi = Bugzilla.cgi +%]
+> What are you asking us to do?
+[%+ cgi.param('desc_1') %]
+
+> What is the problem you are trying to solve?
+[%+ cgi.param('desc_2') %]
+
+> How would you solve this problem? How has this problem been solved in the past?
+[%+ cgi.param('desc_3') %]
+
+> Who might be impacted by this change?
+[%+ cgi.param('desc_4') %]
+
+> What are the known dependencies for this request?
+[%+ cgi.param('desc_5') %]