Site Assessment

Site Assessment
Business
Business Name
Main Contact name
Business Email
example@example.com
Business Phone
Please enter a valid phone number.
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.
Alternate Contact Email
Environment
Elevator Access

YesNo
Loading Dock

YesNo
Construction Site

YesNo
Number of steps our techs will have to go up with the device(s)

01-55+
Parking and Environment information
Please include any notes regarding the parking or environment such as street parking, gated entry, narrow hallways, or indoor carpeting
Power and Network

MANDATORY BEFORE DELIVERY CAN BE SCHEDULED
Your Current Power Outlet(s) (choose all that apply)
Is there an available network (ethernet) port where the new copier will be going?
This question relates to how your copier is connected to the network. It does not change whether or not your computers will be able to print to it.
How many power outlets are available?
How many network ports are available?
Device
Operating systems used to print (Select all that apply)

PCMACChromebookPhone/Tablet
Number of devices that will be used to print
Is there security software on the computer(s) that may block the download of drivers?

YesNo
Are any of these needed on your new device(s)? (check all that apply)*

Scan to folderScan to emailFaxingUser Authentication/Department IDsNone of the Above
Are we removing your old device(s)?

YesNo
How many devices are we removing?
Does your company use a print server?

YesNoI don't know
Does your organization have IT?

YesNo
IT
IT Contact Name:
IT Provider is:
IT Contact Email:
IT Contact Phone Number
Please enter a valid phone number.
IT is:

OnsiteOffsite3rd Party
Will IT be available during Installation?

Yes - They are freely availableYes - But only by appointmentNo - They are not available to helpNo - They will no longer be in contract
Would you like more information about Novatech's Managed IT Services?

YesNo
Are you able to answer questions related to the network and scanning functions of the copier?*

YesNoMy IT will be able to provide answers
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?

YesNo
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
Select One

Select this answer to schedule a call with the Pre-Delivery team. They can export the address book for me.I will attach an Excel file of names and email addresses with this form.I am including the names and emails of the people I want to add to the address book in the section below.I wish to add the address book myself after installation.
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

25465587Other
Port Type

SSLTLSSSL/TLSSSL Off
Authentication
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