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Support & IT
Website Maintenance/Support Request Form template
Request a website fix
Describe what needs updating and we'll schedule the work.
Best for: Agencies
7
Fields
6
Required
5
Field Types
No
Multi-Step
Why Use This Template
- Manage client requests without email chaos or lost messages
- Prioritize urgent issues with built-in urgency levels
- Document every request for accountability and billing transparency
Common Use Cases
- Website maintenance and bug fix requests from retainer clients
- Ongoing support requests for managed hosting or IT services
- Change requests during long-term development engagements
Form Fields
Your Name / Company Name
Text Required
Your Email Address
Email Required
Website URL
Text Required
Request Type
Dropdown Required
6 options
Urgency Level
Dropdown Required
4 options
Detailed Description of Request/Issue
Long Text Required
File Uploads (Screenshots, documents, etc. - Optional)
File Upload
Submit button: Submit Request
Success message: Support request submitted. We will get back to you based on the urgency level.
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