UHC Site IT Support Request

ℹ️

For UHC Health Facility ICT Officers only. Use this form to report connectivity issues at your facility. You will receive an automatic confirmation with your ticket reference number. Our NOC team will respond based on priority.

Your Details

Full Name *

Please enter your name

Your Email Address *

Please enter a valid email

Phone Number

Job Title / Role

Health Facility

Health Facility *

Please select your facility

County

Region

Issue Details

Issue Category *

Please select an issue category

Issue Summary *

Please describe the issue briefly

Full Description *

0/1000

Please provide a description

How many users / devices are affected?

Just me

2–5 devices

6–20 devices

Entire facility

When did the issue start?

📎 Attachments (optional — max 3 images, 2MB each)

📷

Drag & drop photos here, or browse

JPG, PNG, WEBP — max 2MB each

Priority Level

🔴

High Complete outage, facility operations affected

🟡

Medium Degraded service, partial disruption

🟢

Low Minor issue, not urgent

📋 SLA Response Times: 🔴 High → 4 hours | 🟡 Medium → 8 hours | 🟢 Low → 24 hours