Dashboard Request Form Thank you for your interest in Trialworks Dashboards! Before you request/pay for a custom dashboard, be sure to check out our Trialworks Dashboard Library. All the dashboards listed in this document are available free of charge. If you still need a new custom dashboard created, please complete the following survey. This form must be submitted for all requests relating to the creation of new dashboards and/or modifying existing dashboards. Pricing: All requests will be charged at our standard rate of $200/hour. Once this form is submitted, you will receive a written quote based on the complexity of the request. Minimum of one-hour for all requests. Work on the dashboard will commence upon receipt of payment. Please contact Support with any questions at firstname.lastname@example.org or call 305-357-6500. Please complete all fields:Firm Name:* Contact Name:* Contact Title:* Contact Email:* Enter Email Confirm Email Contact Phone Number:*What service do you need?*Please Choose:Create a new DashboardModify an existing DashboardCreate a New DashboardName of New Dashboard: Will this Dashboard be accessible to all users or specific users?Please Choose:All UsersSpecific UsersPlease list the users who will need access to this Dashboard:Enter full names, and click the + to add as many rows as you need. Please list the exact Field Names needed in this Dashboard:If you are uncertain of the proper name of the field, provide the Tab name where the field appears and the name of the label in front of the field. Click the + to add as many rows as you need. Please identify any Conditions you need applied:For example, if the report is to perform calculations or only present data within a specific timeframe, describe those conditions. For example: "The dashboard should show the percentage of cases that are of a specific Case Liability Type" or "The dashboard should show the number of cases opened in a specific time frame that were generated by a specific marketing campaign" or "The dashboard should show the total amount of fees generated by referral attorney within a specific time frame." Click the + to add as many rows as you need. Please identify the order in which the fields should appear in the Dashboard columns:Please provide any additional information that would be useful to create this dashboard.Modify an Existing DashboardName of existing Dashboard:* Copy of Code from Existing Dashboard :Instructions: From the existing Dashboard, click “Edit Current View” to view details of the dashboard. Highlight the SQL Query and cut/paste text into this field.Description of what you need modified:*Please be specific with the exact Field Names you need added or removed, Conditions you need applied, and Order in which you need the fields to appear in the Dashboard Columns.Acknowledgement* By checking this box, I am confirming that I have reviewed the above information for accuracy and TrialWorks has permission to charge our account the appropriate fee.