VIReC VA REDCap HelpDesk Ticket Intake Form

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This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

Please include any details about your request in the comment box at the end.

After you submit the ticket, you will receive an e-mail confirmation and a member of the VIReC VA REDCap Support Team will contact you about your request for assistance.

First Method of Contact

* must provide value

E-mail to VIReCREDCapSupport@va.gov

E-mail to main VIReC helpdesk

E-mail to VIReC staff member

Phone call

In person

Follow-up to question during Thursday session

Skype IM

online intake form

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What is your VA e-mail address?

* must provide value

Form Initiated Date

M-D-Y

Request Date

* must provide value

M-D-Y

Acknowledgement Date

M-D-Y

Is this related to the 504 Gateway Time Out error?

Yes

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Is this related to the user's IAM credentials used for SSO?

Yes

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What can we help you with? Select all that apply.

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Trouble logging into VA REDCap or Need New Account for ______

Missing Invitations, Alerts, or Notifications (show as sent in the log but not received)

Make changes to a project in production

Enable functions for my project

"How To" Questions

Troubleshoot problems with a particular project

I need help with something else

Have you ever used VA REDCap before?

Yes

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Have you ever had a different va.gov email address?

Yes

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Please list ALL va.gov email addresses that have been assigned to you in the past (even years ago):

How many new accounts are you requesting?

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Please complete the following steps:

1) Right Click on the link below and select "Save target as..." to download the account request table.

Attachment:REDCap_Account_Request_Template_7.22.14.csv

2) Fill the Excel table and save it as a .csv file.

3) Upload the completed request form by clicking the link to the right.

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Upload file

Network ID/Username

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First name

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Last name

* must provide value

VA Email Address

* must provide value

What project do you need help with? Please enter project ID number

* must provide value

Check this box to see an example of project ID and survey invitation log date/time

Problem first observed on date/time shown in VA REDCap log

M-D-Y H:M

Problem most recently observed on date/time shown in VA REDCap log

M-D-Y H:M

Please provide any additional information about your request or the best way to contact you.

Expand

Flag for BONNIE ONLY to resolve

***BONNIE***

Priority Rank

Critical/severe: Anything classified critical is considered urgent.

High priority: These tasks are very important and must be completed ASAP.

Medium priority: These tasks are important, but they can usually wait to be done.

Low priority: These tasks are usually items that can wait to be done.

No priority/Unknown: These are tasks that pop up and are relegated to the backlog.

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