Support Request Form
Name of the Person We Contact
*
First Name
Last Name
Phone Number of the Person We Contact
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address of the Person We Contact
*
example@example.com
Company Name of Person Requesting Help
Criticality
*
Emergency - Operations Are Down and Issue Affects 3 or More People. (i.e Internet or Server is Down for Everyone) Please also call 623-486-9200
Urgent - Operations Are Down and Issue Effects 2 or Less Employees. (i.e. One Person Cannot Login, Print or Access the Internet)
Important - Operations are Not Down but Affected and Issue has an Imminent Deadline. (i.e. An Application, Equipment, or System Install or Upgrade is Required by a Future Date)
Normal - Operations are Not Down but Affected and Issue does Not have an Imminent Deadline. (i.e. Would like a computer moved to a different location but time and date are flexible)
Low - Operations are Not Down and Not Effected and Issue does Not have an Imminent Deadline. (i.e. Future Project or Upgrade)
Inquiry (i.e. I just have a question)
Training (i.e - I Need Instructions or Training on a Program)
Other (None of the options above apply)
Please Describe the Issue or Let Us Know What You're Trying to Achieve.
*
When was the Last Time this Program, Procedure, Device or System Worked Correctly?
*
Never, This is a New Request, Program, Procedure, Device or System
Earlier Today
Yesterday
2-10 Days Ago
More Than 10 Days Ago
Other
If the Issue is Only Occuring on One Computer, Have You Already Restarted the Computer?
Yes
No
Not Applicable
Other
Preferred Consultant (Selecting a Specific Consultant May Lead to a Longer Response Time)
*
First Available Consultant
Derrick
Patty
Darian
Jake
Trevor
Uploading a screenshot or picture of the error or other relevant information helps us resolve the issue much faster (a picture is worth a thousand words!). On most Windows computers, you can press the Windows logo key + Shift + S to capture a static image.
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