Support Ticket

Support Request Form

Can’t find the answer in our documentation?

Submit a Support Ticket

Name(Required)
For mobile app accounts – Please use the phone number associated with your account.
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.
This is the Agency Name found at the top navigation bar in the Beacon interface

Request Type(Required)
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Component(Required)
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Severity(Required)
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* IMPORTANT: PLEASE DO NOT UPLOAD ANY ATTACHMENTS CONTAINING PHI (PROTECTED HEALTH INFORMATION) or PII (PERSONALLY IDENTIFIABLE INFORMATION)
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Accepted file types: jpg, jpeg, png, Max. file size: 128 MB, Max. files: 3.

    Consent(Required)