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+---
+name: Report a broken site
+about: Is Privacy Badger breaking something somewhere? We'd like to get it fixed!
+
+---
+
+#### What is your browser and browser version?
+
+#### What is broken and where?
+
+#### What is the "culprit" domain?
+Please follow the debug instructions to identify which domain breaks stuff when blocked:
+https://github.com/EFForg/privacybadger/wiki/Find-out-why-Privacy-Badger-is-blocking-a-domain
+
+#### What is your debug output for this domain?
+To get the debug output, please see the instructions link above.
+```
+Paste debug output here.
+```