---
title: Capture CDM information form
description: The Capture initiator details form enables you to collect the escalated complaint details for an Customer Dispute Management \(CDM\) case.
locale: en-US
canonical_url: https://www.servicenow.com/docs/r/telecom-media-technology/capture-adr-information-form.html
release: australia
topic_type: reference
last_updated: "2026-03-12"
reading_time_minutes: 1
breadcrumb: [Reference, Customer Service Problem Management, Telecommunications, Media, and Technology \(TMT\)]
---

# Capture CDM information form

The Capture initiator details form enables you to collect the escalated complaint details for an Customer Dispute Management \(CDM\) case.

|Field|Description|
|-----|-----------|
|Product/service location|Location of the product or service where the issue is on.|
|Affected product/service inventory|The product or service, which the issue is facing.|
|Service status|Status of the service.|
|Category|Category for the dispute. This list contains the industry-standard categories that are based on the selected complaint type.|
|Subcategory|Subcategory for the complaint. This list contains the industry-standard subcategories that are based on the selected dispute category.|
|Priority|Priority of the dispute.|
|Date issue occurred|Date on which your issue is occurred.|
|Dispute received date|Date on which the dispute is received.|
|Short description|Brief description of the dispute.|
|Description|Detailed summary of the dispute.|

**Related topics**  


[Create a Customer Dispute Management case](https://raw.githubusercontent.com/ServiceNow/ServiceNowDocs/australia/markdown/telecom-media-technology/create-adr-case-record.md)