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Support Request Form
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Client Billing/Support Portal
Support Request Form
Please fill in all fields.
Company Name
User Name
Phone Number
Email Address
Urgency
Emergency
Schedule ASAP
Next Visit
Emergency - System is down and customer is unable to perform job duty. No other system is available for use. Please call immediately.
Schedule ASAP - Issue is causing great difficulty, but system is still functional (i.e. slowness, unable to perform some tasks but can continue to work). System may be down but a PC is available and functioning for now. Please call today or first thing in the morning.
Next Visit - Minor issue, question, or additional setup that can wait until next visit onsite or possibly handled remotely (i.e. add another printer, how-to question, minor error that appears to have no effect once OK is clicked). Please call to schedule when available.
Issue Type
Error Message
Server Connection (S: drive Access)
E-Mail
Internet
Web Site
Display
Printer
Other Peripheral (kbd, mouse, scanner, etc.)
Hardware / Software Purchase
Hardware / Software Installation
Security Issue (such as employee termination)
Other
Application
Windows
Office (Word, Excel, Powerpoint, etc.)
E-Mail (Outlook, Webmail, etc.)
Accounting
Internet Explorer
Remote Access (RDP, Citrix, VPN, etc.)
CRM (ACT!, SalesForce, etc.)
Point of Sale
FAX
CoreVault
Other
None
Detail
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