SCEIS Service Desk Ticket Form

Important: Include as much detail as possible in your request to ensure the timeliest and most accurate response available. Whenever possible, attach a screen shot showing the error or difficulty you are experiencing, and always include pertinent transaction numbers, description details, etc.
Are you the user who is experiencing the problem?
Your First Name:  
Your Last Name:
Your Email Address:
Your SCEIS Username (ID):
Your Contact Phone Number: Ext.
Your Agency:  
Select the area of SCEIS in which you are experiencing a problem:
When completing the following section do not include sensitive information, such as social security numbers, diagnoses, credit card numbers, etc. Delete or redact sensitive information in screen shots.
Describe the problem in detail:
Have you already reported this problem to the SCEIS Service Desk?
Attach a screen shot (optional):    How to attach screenshot

If you are having problems with this form
please contact the Service desk
either by Phone at 803-896-0001
or by email at