ServiceDesk Support Request
ServiceDesk Support Request
Please fill out the form below to submit a ServiceDesk Support Request.
Requestor Name
* This is a required field
Name of person submitting the request
User Type
Select...
Provider
Examinee/Claimant
Leidos QTC Employee
Transcriber
Client
Partner
Other User Type
* This is a required field
Please select the appropriate user type
Affected System/Application
Select...
Citrix (KMEP) Portal
Examinee Portal
ExamTrack Portal
MEP (Web Version)
Next Generation Viewer (NGV)
Provider Portal
Triton
Transcription Dictation
Transcriber Remote Desktop
Other (See Issue/Request Summary)
* This is a required field
Provide name of system/site requesting support for
Nature of Issue
Select...
Password Support
Unable to Login
System Unavailable
System Issues (Timeout/Disconnect/Slowness)
Web Browser Support
PC, Client or Device Support
Other Issue/Request (Please see Issue/Request Summary)
* This is a required field
Select appropriate issue category
Computer Type
Microsoft Windows Desktop/Laptop
Tablet (MacBook)
Smartphone (Google/Android)
Mac Desktop/Laptop
Tablet (Windows)
Smartphone (Other)
Tablet (Google/Chromebook)
Smartphone (Apple/iOS)
Other Device (Please see Issue/Request Summary)
* This is a required field
Select type of PC used
Network Connection
Select...
Home (Personal) Network (DSL/Cable)
IPA/Partner Office Network
Leidos QTC Clinic
Mobile (Hotspot, Cell Phone or MiFi Device)
Other Connection Type (Please see Notes/Comments)
* This is a required field
Select type of Network used
Issue/Request Summary
* Please enter a maximum of 1000 characters
Please describe the nature of the issue being reported
Contact Number
* This is a required field
Provide a phone number to be contacted
Email Address
* A valid email is required.
Provide a contact email address
Best Time to Call with Timezone
* This is a required field
Note: Our hours of operation are:
Mon-Fri 4am - 8pm Pacific / Sat 5am - 5pm Pacific
Pacific
Mountain
Central
Eastern
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QTC Management, Inc.
Copyright 1980-
QTC Management, Inc.
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