Can't input text into Report Windows

[Recaldy]

Time: 4 PM CST
Frequency: Each time window is opened
World name: Balmung
Character name: Recaldy Arrowsmith
Retainer name: N/A
NPC name: N/A
Monster name: N/A
Class/Level: DRK 60
Party or solo: Solo
In-game time: 9:38 PM eorzea time
Area and coordinates: Western Thanalan 26.6, 17.1
Housing: N/A
Steps:
1. Support Desk
2. Contact Us
3. Can't type into the window. / Can't click the text fields.
<*Add more steps if necessary>

Connection Specs
- Type of internet connection/provider:
- Modem maker/model number:

PC Specs
-=-=-=-=- System Information -=-=-=-=-
Windows 7 home premium 64 bit, service pack 1 7601.win7sp1_gdr.160121-1718
intel core i7-4770 cpu @ 3.40 ghz
nvidia geforce gtx 970 vram 3072 mb 10.18.0013.5906
1920x1080 monitor
(Forums doesn't tell me how to get the full list.)

-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-


Gamepad Manufacturer: N/A
Gamepad Model Name: N/A
Gamepad Part Number: N/A

Browser Information
- Name and version of the browser currently in-use: Mozilla
- Internet Explorer Version: N/A

I tried to report a gil seller killing mobs underground but all the report windows show up empty and I can't type into any of them.