EEG iCap Incident Support Request
Have you had a connection issue or other problem using iCap(TM) software that you would like to report? Please fill out the below form with the details. You may choose to be contacted with analysis and follow-up based on your report, or you may elect to not be contacted and contribute the report simply to help us understand user issues and improve upcoming iCap products.
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Inicident Date *
When did the incident you want to report occur?
MM
/
DD
/
YYYY
Incident Time *
When did the incident begin? Please use US eastern time if possible.
Time
:
Access Code *
What is the name of the iCap access code this report is about?
Captioner Account
What captioner account(s) experienced this issue? Please include both the iCap company account name and the individual user account name.
Incident Reported By
What is your name?
Incident Sympoms *
Please select all that apply.
Required
Detailed Description
Is there any additional information about the incident you can share? It may help to describe the duration of the incident, whether the incident has occurred previously in similar situations, and whether the problem is ongoing or if a workaround or temporary fix has been established.
Contact Preference *
Would you like EEG Support to follow up with you about this incident report?
Contact  Info
If you would like EEG Support to follow up with you personally, please provide your email address.
Additional Comments
Do you have any additional comments about iCap at this time? They do not need to be directly related to the incident described here.
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