With some help from QV Support we were able to isolate the problem. To fix this issue you must verify that the QVPR files AlertEmail.xml and MailTemplate.xml have the same DistributionServiceID. The AlertEmail.xml file had the correct DistributionServiceID. We copied that DistributionServiceID and replaced all DistributionServiceID lines in MailTemplate.xml with the AlertEmail code. So far we are now receiveing alerts.