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Support Request Form

Use this form to report problems to Eftia Customer Support. Enter all relevant information and press Send below. Alternatively, you can E-mail us at support@eftia.com.

If your problem is critical, give us a follow-up call toll-free at 1-888-828-4407.

Remember, the more precise information you provide, the more quickly and effectively we will be able to respond to your request.

Customer information

* Company:

* Name:

Phone:
( ) ext.

* E-mail address:

Trouble report

This problem is:

For more information about problem priority ranking, please see the Problem Priority and Resolution page.

Date of the occurrence
(MMDDYY)

Time of the occurrence:

Server Name/Type?

What application and form were you using when things went wrong?

Please provide a detailed description of the problem including exactly what you were trying to do (build a circuit, record a trouble call, escalate a task, etc.)

What was the last thing the system did?

What was the last action that completed successfully?

Did you get an error message, and if so, what did it say?

Has this problem occurred before?

If "yes" please refer to Ticket number?