Unlock hundreds more features
Save your Form to the Dashboard
View and Export Results
Use AI to Create Forms and Analyse Results

Forgot Password?
Get Started
OR
Sign UpLogin With Facebook
Sign UpLogin With Google

Support Request Form Template

Streamline customer support with an effective support request form

Struggling to track customer inquiries and resolve issues efficiently? This support request form template is designed for businesses looking to capture detailed information about customer problems, requests, or questions. By using this form, you can improve communication, enhance customer satisfaction, and streamline your support process, all without any coding required. Plus, it features WCAG-aligned labels for accessibility, ensuring every customer can reach out easily. Start customizing the live template for your needs today!

Use this Template (FREE) Live Preview
Full name
Email address
Organization or company
Preferred contact method
Email
Phone
Either
What type of request is this?
Technical issue
Account access
Billing or payment
Feature request
How-to question
Data or privacy request
Other
Please Specify:
Describe the issue or request
Where does the issue occur? (Select all that apply)
Web app
Website
Mobile app - iOS
Mobile app - Android
Desktop app
API or integration
Not sure
Other
Please Specify:
Link to a screenshot or relevant file (URL)
Is the issue reproducible?
Every time
Often
Sometimes
Happened once
Not sure
What is the impact level?
System down / critical impact
Major impact
Moderate impact
Minor impact
Question or information only
Not sure
How many users are affected?
Only me
2-10 people
One team or department
Multiple departments
Entire organization
Not sure
May we access your account or data to troubleshoot this request?
Yes
No
May we make changes necessary to resolve this request?
Yes
No
Type your full name as signature
Date
I agree to the support terms.
True
False
{"name":"Full name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Full name, Email address, Organization or company","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration depicting a support request form template for FormCreatorAI article

When to use this form

Use this form when customers or teammates need help with bugs, login issues, billing questions, or confusing settings. It suits SaaS admins, IT leads, and support teams collecting details to triage and resolve issues fast. Examples: a payment will not submit, an integration stopped syncing, or a form loads slowly in Safari. The form captures steps to reproduce, error messages, and impact so you can prioritize and assign the right agent. If someone needs a data export or report, send them to the Data request form. For item samples or demo materials, point them to the Sample request form.

Must Ask Support Request Questions

  1. Which product, plan, or feature is affected?

    This pinpoints scope and routes the ticket to the right specialist. It also reveals account limits or feature flags that may explain the behavior.

  2. What happened, step by step, and what have you tried so far?

    Clear reproduction steps let your team verify the issue and see the same result. Listing attempted fixes prevents duplicate advice and speeds the next action.

  3. What is the impact and urgency?

    Knowing who is blocked and how severe the issue is helps you prioritize fairly. It also sets response time expectations with the requester.

  4. Which account, IDs, URLs, and exact error messages can you share?

    Specific data points help engineers trace logs and match events to timestamps. Screenshots or a short recording reduce back-and-forth and surface clues fast.

  5. What is the best contact info and time zone for follow-up?

    Reliable contact details prevent delays and missed replies. If the inquiry is about a campaign or creative asset, please use the Marketing request form or the Graphic design request form.

More Forms

Copy/Edit Form Send to Recipients Make a Form w/AI Form Builder Must Ask Questions
  • 100% Free - No Catches
  • Collect Responses Today
  • Tailor to your Look & Feel