Yes you can.  We have a link to our ticket system to request an exception.

I learned that the forms are just XML formatting and used that code to add what I needed

Care to share an example for user notification that includes that? @JohnD 

we used the solution other mentioned but what i was trying to figure out is how to embed a mail to and pull attributes the blocked message into the email so when it go to our ticketing system it has all the info in it.