diff --git a/.github/ISSUE_TEMPLATE/provider-request.yml b/.github/ISSUE_TEMPLATE/provider-request.yml
new file mode 100644
index 00000000..7bd634c6
--- /dev/null
+++ b/.github/ISSUE_TEMPLATE/provider-request.yml
@@ -0,0 +1,64 @@
+name: Bug Report
+description: File a bug report
+title: "[Bug]: "
+labels: ["bug", "triage"]
+projects: ["octo-org/1", "octo-org/44"]
+assignees:
+  - octocat
+body:
+  - type: markdown
+    attributes:
+      value: |
+        Thanks for taking the time to fill out this bug report!
+  - type: input
+    id: contact
+    attributes:
+      label: Contact Details
+      description: How can we get in touch with you if we need more info?
+      placeholder: ex. email@example.com
+    validations:
+      required: false
+  - type: textarea
+    id: what-happened
+    attributes:
+      label: What happened?
+      description: Also tell us, what did you expect to happen?
+      placeholder: Tell us what you see!
+      value: "A bug happened!"
+    validations:
+      required: true
+  - type: dropdown
+    id: version
+    attributes:
+      label: Version
+      description: What version of our software are you running?
+      options:
+        - 1.0.2 (Default)
+        - 1.0.3 (Edge)
+      default: 0
+    validations:
+      required: true
+  - type: dropdown
+    id: browsers
+    attributes:
+      label: What browsers are you seeing the problem on?
+      multiple: true
+      options:
+        - Firefox
+        - Chrome
+        - Safari
+        - Microsoft Edge
+  - type: textarea
+    id: logs
+    attributes:
+      label: Relevant log output
+      description: Please copy and paste any relevant log output. This will be automatically formatted into code, so no need for backticks.
+      render: shell
+  - type: checkboxes
+    id: terms
+    attributes:
+      label: Code of Conduct
+      description: By submitting this issue, you agree to follow our [Code of Conduct](https://example.com)
+      options:
+        - label: I agree to follow this project's Code of Conduct
+          required: true