Support Request Form

Name of the Person We Contact*

First NameLast Name

Phone Number of the Person We Contact*

Please enter a valid phone number.

Email Address of the Person We Contact*

example@example.com

Company Name of Person Requesting Help

Criticality*

Emergency - Operations Are Down and Issue Effects 3 or More People. (i.e Internet or Server is Down for Everyone)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?*

If the Issue is Only Occuring on One Computer, Have You Already Restarted the Computer?

YesNoNot ApplicableOther

Preferred Consultant (Selecting a Specific Consultant May Lead to a Longer Response Time)*

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.