Name 
Company
Address
City State Zip
Phone
Fax     
eMail  
  ORDER NUMBER IS THE LOGIN ID
                         [5 digits]
Password

Choose Is this a New Issue or Existing This issue is: New Issue Existing Issue

If EXISTING TICKET IS OPEN: 
list 6 digit issue number below.


Choose Product Version: [Mandatory]
Choose Product Version: Advanced BetterCheck BetterCheck Virtual Terminal

List the issue you have here in detail:   
 

If you are reporting an error message, what is the error message word for word:

What was the exact date and time the error was generated, EASTERN TIME? 
This is so an administrator can check the log files on their account to locate any server or connectivity trouble.

What brand browser was being used?
[example: Netscape or Internet Explorer]
 

What version of the browser: found in the HELP / About menu? 
[example: Version 6.0.2800.1106]
 

Action Required:
SELECT ACTION No Action Required [Issue Resolved] Please Call Back [M-F, 9-5 Eastern] Send Email Response [24/7] See Notes For Required Action

Additional Notes:

Be sure all fields above, including the ZIP CODE, and email address are completed.  After submission an issue number will be generated and emailed to you with the current status.