Site Assessment (classic)

Site Assessment
Who is filling out this form?
Business
Business Name
Main Contact name
Business Email
example@example.com
Business Phone
Please enter a valid phone number.Format: (000) 000-0000.
Address of Delivery

Delivery Address

Street Address Line 2

CityState

Zip Code
Hours of Operation
Unavailable Delivery Days
Who should we schedule delivery with?
Who will let us in the building?
Alternate Contact Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Contact Email
Environment
Elevator Access
Is a certificate of insurance required by your building management for delivery?
Number of steps our techs will have to go up with the device(s)
Parking and Environment information
Please include any on-site details such as street parking, best point of entry, or certificate of insurance required.
Power and Network

MANDATORY BEFORE DELIVERY CAN BE SCHEDULED
Your Current Power Outlet(s) (choose all that apply)
Available network/ethernet port?
copier(s) must have an ethernet connection unless it is wifi/USB capable.
Device
Operating systems used to print (Select all that apply)
Number of devices that will be used to print
Is there security software on the computer(s) that may block the download of drivers?
Are any of these needed on your new device(s)? (check all that apply)
Are we removing your old device(s)?
How many devices are we removing?
Does your organization have IT?
IT
IT Contact Name:
IT Provider is:
IT Contact Email:
IT Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
IT is:
Will IT be available during Installation?
Would you like more information about Novatech's Managed IT Services?
Are you able to answer questions related to the network and scanning functions of the copier?
Scheduling below will arrange a short call with our free specialist to set up your device prior to install.
Schedule here:
Networking
Answering NO to the question above will allow you to schedule a short call with our free specialist to gather the info in the following section(s).
Are we reusing your IP address?
Please list the desired IP address(s) and locations for the new device(s) below. Click "Save Entry" for each row:
Subnet
Gateway
DNS 1
DNS 2
Device Address Book
Can you provide the address book(s)?
For help exporting your address book and other questions, please schedule here:
Upload your address book here (excel file, text file, or word document):

Cancelof
Please list the names and emails for the users you want added to the address book here. Click "Save Entry" for each row:
Scan to Email
SMTP Server Address
SMTP "From" Address
Port Number

Other
Port Type
IMPORTANT:
If your SMTP has a password, please have it ready and available on the day of delivery for our installers.
Notes
Enter any additional notes or comments here:
DO NOT TOUCH
Should be Empty:

Site Assessment

Business

Environment

Power and Network

Device

IT

Networking

Device Address Book

Scan to Email

Notes