Online Self Service Request Form iCompuCARE Client Request RequestIDRequest Date* Requester Details* Name Department Mobile Number Request Priority*Low - On next routine visit to my officeMid - Within 5 working DaysUrgent - Within 24 Hours *Important: For Urgent Request Additional charges may apply depending on our onsite visitation schedule and contract terms. Company NameEmail Request Type*I need a Quotation from Sales DepartmentI need Technical SupportSoftware Installation/Removal RequestRemove Resigned UserCreate New Staff Email and AccessModify Application/ Programming/New ReportSupport IssueProblem Description*Please describe your problem clearly so we can assist.Screenshot/Files Upload Drop files here or Accepted file types: pdf, doc, docx, jpg, png, gif. To help us please include any screenshot of the problem. To take screenshots press CTRL-P and open a new word document and CTRL-P to paste.Appointment Date Please provide Date when engineer can come and fix this issueTime* : HH MM AM PM Quotation RequestDescribe what you need* Needed By* When do you need this items delivered bySoftware Installation/Removal RequestI want to*Install SoftwareRemove SoftwareUpdate to Latest VersionList of Software*Please provide Software Name and License Key if any for installation. If this request of for a few PC please provide the PC NameDetails I have the License Key or Serial Number I have the CD to install on my machine Im authorised to install this on my machine Remove Resigned UserName and Email AddressPut each name in one line for more then 1 removalItems to remove* Delete Email Address Remove Access to Systems/Folders Delete all Files in Personal Folders Special Instruction (If Any)Please provide any additional system that needs to be updated due to this staff resignation if anyNew Staff ProvisioningWe require at least 48 Hours notice for any New Staff Request. New Staff Details* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix Name Phone Department Designation Desired Email AddressPlease Create Email Address Access to Servers Provision A PC if available Special Instruction of Applications for this user*MSOffice, Antivirus, PDF reader and Winzip will be installed by default. If there is any specialized applications needed please list it here and ensure license and CD is available for installation.Staff Joining Date* Programming RequestSystem NameChanges Needed by* Detailed RequestScreenshots Drop files here or Accepted file types: pdf, doc, zip, png, jpg, xls. EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
