Website Troubleshooting & Technical Support Request Form

Client Information

Full Name*

Business Name*

Email*

Phone*

Website URL*

Issue Type*

Website is down

Error message(s) showing

Site speed issues

Forms not working

Broken links or pages

Design/layout issue

Email/contact form issues

Plugin/app not functioning

SSL/security issue

Other (please describe below)

Other

(select all that apply)

Describe the issue in detail*

When Did You First Notice This Issue?*

Have You Made Any Recent Changes to Your Website? (If yes, please describe the changes that were made)*

Upload Screenshots or Files

How Urgent Is This?*

🔴 Urgent – Business Operations Affected

🟡 Medium – Needs Attention Soon

🟢 Low – Not Time-Sensitive

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