Contact Information

* Customer Number/Site ID: (Active Service Agreements Only)

* Company:

* Contact:

* Phone:  (ex: (xxx) xxx-xxxx)

* Email: (must be a valid email address!)

MindWorks Service: ----------------------- Networking Systems Email Backups Security Web Management VoIP / PBX IP Other

Problem Severity: Standard - Minor Impact (2-4 hour response) Serious - Major Impact (0-1 hour response) Critical - System Down (15 minute response)

Brief Summary of Issue:  

Can problem be duplicated? YES NO

Were you able to run the "mwcaplog" script to capture logs? YES NO

Non-Support Contracts - Time & Materials

Operating System: Windows LinuxUnix

Brief Description:



*  mandatory fields