Leased Line Order Questionnaire – Interpro Forms

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Leased Line Order Questionnaire

"*" indicates required fields

URL

This field is for validation purposes and should be left unchanged.

Company name*

As displayed on Companies House

1. Does the end customer own the installation site?*

Yes

No

Tenant name*

Tenant address*

Tenant telephone number*

Tenant email*

2. Was the building constructed prior to year 2000?*

If the building was constructed prior to the year 2000, a current Asbestos Register is required. This is a legal requirement. If a surveyor attends the premises and an Asbestos Register is not available for inspection, the survey will not take place and a missed appointment fee will apply.

Yes

No

3. Will the end user require RAMS (Risk Assessment or Method Statement)?*

Yes

No

4. Will the site contact(s) have access to all areas of the building during site visits?*

Yes

No

5. Are there any specific access requirements e.g. security clearance, extended notice, safety induction?*

Yes

No

Please provide details of access requirements*

6. Is there a Health & Safety file on site?*

Yes

No

7. Will the site contact(s) be aware of the installation requirements and have relevant decision making abilities?*

Yes

No

8. Is the site ready for installation i.e. is there power to and space within the Comms Room/Rack?*

Yes

No

9. Are there two free 13-amp sockets within 2 meters of the install location?*

Yes

No

10. Is Out Of Hours working required on site?*

NB: access availability needs 5 days’ notice

Yes

No

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11. Does the customer require the Network Terminating Equipment to be installed within an existing 4U Chassis?*

No

12. Are there any existing fibre terminations at site at the same termination point?*

Yes

No

Please provide the service provider name and references if known

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13. Please provide on-site details for the router shipment. Name, address and contact telephone number

Would you like a copy of this form?*

Yes

No

Email address*