Gravity Test

Name(Required)

Phone

For mobile app accounts – Please use the phone number associated with your account.

Email(Required)

Please use the email associated with your Beacon account. This will also be the email a team member will use to reach back to you and help with your support request.

Agency Name(Required)

This is the Agency Name found at the top navigation bar in the Beacon interface

Request Type(Required)

Select One

Issue

Question

Other (Unknown)

Component(Required)

Select One

Mobile App

Web Dispatcher Pages

Severity(Required)

Select One

Critical – An issue that severely impacts the ability to use the service (e.g., system downtime, data loss).

High – An issue that significantly impacts the use of the service, but a workaround exists (e.g., feature degradation).

Medium – An issue that causes inconvenience but does not impact the core functionality (e.g., minor bugs or questions).

Low – A non-urgent issue that does not affect the functionality (e.g., general inquiries, minor feature requests).

No Impact- Question Only or Other (Unknown)

Detailed Description(Required)

Please provide Steps to Reproduce if applicable

Provide screen captures that would help our team understand your support request

* IMPORTANT: PLEASE DO NOT UPLOAD ANY ATTACHMENTS CONTAINING PHI (PROTECTED HEALTH INFORMATION) or PII (PERSONALLY IDENTIFIABLE INFORMATION)

Drop files here or

Accepted file types: jpg, jpeg, png, Max. file size: 128 MB, Max. files: 3.

Consent(Required)

I consent to Trek Medics International collecting my email address and phone number through this form.

Trek Medics International and/or Beacon is not responsible for delays or failures in response or resolution caused by:

The user’s failure to provide accurate, complete, or timely information
The user’s failure to follow published training materials, documentation, or user manuals
The performance, availability, or reliability of third-party services or products not managed by Trek Medics
Circumstances beyond our reasonable control, including but not limited to internet outages, service disruptions, or major external events

Support Request Form

Submit a Support Ticket