Submit Service Ticket

Name*

First Last

Phone*

Email*

Description of Issue*

Be specific – (Which piece of equipment are you are using? Which systems are impacted? When did the problem occur? Which location are you at? Etc…)

Who reported the issue?*

Are they reporting for someone else? (CC/POC)

What configuration(s) are having the issue?*

(Includes workstations, appliances, and applications: O365, AllScripts, etc)

Where is the issue happening?*

(On site, remote, at home?)

What time did the issue begin?*

Are there any error messages, codes, warning, or notable lights?*

(Screenshot? Can it be reproduced?)

How many people are having the issue?*

(1 person, a few people, entire company?) (Critical function?)

Does the person who has the issue have a work around until it is resolved?*

Has this happened before?*

If so, please provide any relevant context you think would be beneficial to know.

Is this urgent?*

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