Incident or Problem Report Submission

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For details on our response-time promise and our current rate schedule, please review Worthwhile's Standard Terms & Conditions at http://www.worthwhile.com/tc.

Worthwhile's Commitment:

We are committed to provide great service and always keep you informed about our progress. We will acknowledge the receipt of your incident or problem. We will inform you about who will address your issue and when work on your issue will start based on the severity you selected. Once we start addressing your issue we are going to stay on it until it is resolved to your satisfaction. Should more than 3 hours be required to address the issue, we will request approval of additional time once the 3 hours are utilized, and will pause our work until we receive your authorization to continue.

What is the severity of your incident or problem? *

Please describe the issue you are experiencing: *

Please describe the desired change you want to see: *

You may provide a reference/id which will be included in future communications:

What is the name of your company? *

What is your name? *

What is your email address? *

Acknowledgements *

You acknowledge that the severity you choose will dictate our response time, but also the rate we charge for our services. You promise to respond to our inquiries for more information, review, or authorization of additional work within the time frames laid out in our Standard Terms and Conditions to not interrupt our commitment to resolve your issue in a timely manner.

I acknowledge that I am authorized to request this work on behalf of my company.

I authorize Worthwhile to spend up to 3 hours to address this work.

I acknowledge that I will pay the charges incurred with this work and will provide Worthwhile with a P.O. if needed.

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