Fantastic IT Ticket Page

In order to help us provide you with the highest level of service and quickest resolution to your technical issue, please take a moment to provide us with as much information as you can below. Thank you!

Your full name*
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Your email address
Your email address*
Select point of contact*
- Contact me
- Contact someone else
Name of the person we should contact*
Email of person we should contact
Phone number of contact*
International
- International phone number?
International phone number*
ext. #
Alternate contact method
(Call their cell, have them paged, log in and start working, etc.)
Alternate contact method
(Call your cell, have you paged, log in and start working, etc.)
Request category*
Select 'I Have a Problem' for requests that need action within 24 hours
Repeat Issue?*
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Are you requesting support from the computer (or one of the computers) having the issue?*
- Yes
- No
What computer(s) or user(s) are having the issue?*
i.e. My computer, Cindy's computer, All Accounting computers, etc
How many people are affected?*
Problem severity*
Problem severity*
Problem severity*
Availability*
PACIFIC TIME ZONE (Example: 10a-12p, anytime this afternoon, after 2p, etc)
Does this need to be worked on in the next 4 business hours?*
Deadline date*
Format: mm/dd/yyyy
MM slash DD slash YYYY
Your Time Zone?*
Choose the time zone for the deadline time below
- Pacific Time Zone
- Eastern Time Zone
Deadline time*
Deadline time*
Briefly describe your request*
(125 characters max)
More details of your request*
(No limit)
Error messages?
If so, please input them below (as detailed as possible)
Upload any files you think will be relevant, including screen shots
Drop files here or

Accepted file types: jpg, jpeg, png, pdf, doc, docx, xls, xlsx, log, bmp, eml, msg, zip, rar, Max. file size: 50 MB, Max. files: 10.
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