Tech Support Request Report Form
Tech Support Member:
David
Derrick
Lucas
Micah
Tony
Other
Internal/External:
Internal
External
Location:
Domestic
International
Company:
Use 'Cirris' for any internal issues
Customer First Name:
Will be used in Email to customer
Customer E-mail:
Send survey request to this address
Cumulis Node:
Form ID:
Primary Request:
Inquiry
Database
Software Install
Other I.T.
Software Bug
Hardware Error
Additional Request(s):
Inquiry
Database
Software Install
Other I.T.
Software Bug
Hardware Error
Received From:
Phone from Sales
Direct Phone Call
Email from Sales
Website Form
Engineering
Discovered Myself
Other
Other
Received to Resolved:
Please Select
< Hour
< Day
1 - 2 Days
3 - 4 Days
Week
> Week
My Time Spent:
Please Select
< 10 Minutes
10 - 30 Minutes
30 Minutes - Hour
1 - 3 Hours
3 - 5 Hours
5+ Hours
Involved Sales:
Yes
No
Involved an Engineer:
Yes
No
Should be Empty: