Submit a Support Request
Finexio Client Operations
Requestor Name
*
First Name
Last Name
E-mail
*
example@example.com
Requestor Type:
*
Please Select
Supplier
Student
Client
Subject
*
Your Business/Institution Name
*
RC # or Invoice #
Phone Number
Request Type:
*
Please Select
General
Payment Dispute
Payment Question
Portal Question
Supplier Updates
Client Updates
Request Sub-Type (General):
*
Please Select
Returning VM
HR Request
Other
Request Sub-Type (Payment Dispute):
*
Please Select
Card Issue
Check Issue
ACH Issue
Request Sub-Type (Payment Question):
*
Please Select
Remittance Details
Payment Status
Refund Payment
Reissue as Check
Reissue as ACH
Reissue as Card
Card-By-Mail Opt Out
Other
Request Sub-Type (Finexio Portal Question):
*
Please Select
Portal Error
Reporting
Finexio Portal Access
Payment File
Request Sub-Type (Supplier Updates):
*
Please Select
Profile Updates
New Supplier Add
Electronic Enrollment Request
Request Sub-Type (Finexio Client/Buyer Updates):
*
Please Select
Profile Updates
New Supplier Add
Describe Your Request
Please include information such as payment or transaction numbers, the dates or time periods it covers, and copies of invoices, receipts, statements, or any other documents that help us review and process your request.
File Upload (If Any)
Browse Files
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*
Business Hours ID (Hidden)
This is required in order for Jotform > SF Integration to work. This field is hidden to users.
Final Sub-Type (Hidden)
Please Select
Returning VM
HR Request
Card Issue
Check Issue
ACH Issue
Remittance Details
Payment Status
Refund Payment
Reissue as Check
Reissue as ACH
Reissue as Card
Card-By-Mail Opt Out
Other
Portal Error
Reporting
Finexio Portal Access
Payment File
Profile Updates
New Supplier Add
Electronic Enrollment Request
Submit
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