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NEW Customer Requirements form Use this form to create target requirements for your needs. You can use this information in all stages of your communications and planning. Some sections of this form may not apply to all requests please fill out the sections that apply to this request. In the following tables enter the information that you need in order to create a profile for your requirement. Some sections of this form may not apply to all requests please fill out the sections that apply to this request. In the following tables enter the information that you need in order to create a profile for your requirement. Use the TAB key to move to the next field. Save the form and E-Mail to Servicedesk cts. wa.gov Organizational Name Has your agency purchased CTS services and or products before Yes No If yes which ones Department s HQ Location Address City State ZIP What is this your Department s familiarity and prior exposure or experience with our services and product Minimal Extensive Circuit info Request Network Services Info Circuit Info Vendor T1 Fractional Speed Vendor Ethernet For Ethernet UPS required Type of usage expected for this location 10M Full DS1 1 Gig CTS SMON Ethernet Fiber Termination copper Termination Customer supplied Light Medium Heavy Site Address Room DEMARC Ext If yes to where Termination node preference if available SLA Current Please note if SLA is not current no new installs can be completed. Page 1 NEW Switch / router Requests Connection Info Ethernet Circuit Serial Circuit Is the current Switch / Router needing upgrade Frame 1- T1 1G Multiple T1 s Unknown Current Switch or Router Brand and model Other notes New Site Customer Survey Please explain your overall business requirement and what your organization strives to achieve from using network technology. Use the TAB key to move to the next field. Save the form and E-Mail to Servicedesk cts. wa.gov Organizational Name Has your agency purchased CTS services and or products before Yes No If yes which ones Department s HQ Location Address City State ZIP What is this your Department s familiarity and prior exposure or experience with our services and product Minimal Extensive Circuit info Request Network Services Info Circuit Info Vendor T1 Fractional Speed Vendor Ethernet For Ethernet UPS required Type of usage expected for this location 10M Full DS1 1 Gig CTS SMON Ethernet Fiber Termination copper Termination Customer supplied Light Medium Heavy Site Address Room DEMARC Ext If yes to where Termination node preference if available SLA Current Please note if SLA is not current no new installs can be completed. Page 1 NEW Switch / router Requests Connection Info Ethernet Circuit Serial Circuit Is the current Switch / Router needing upgrade Frame 1- T1 1G Multiple T1 s Unknown Current Switch or Router Brand and model Other notes New Site Customer Survey Please explain your overall business requirement and what your organization strives to achieve from using network technology. Provide the address and an onsite contact with a telephone number for each location that requires a service proposal. To which network do you need connectivity SGN IGN PGN Please provide a current network diagram with IP addressing Do you currently have any direct network connection s to business partners vendors etc If so please describe in detail. Describe current / new application s / traffic flow s What are prime business operating hours / regular scheduled maintenance period for this site Do you have firewall s deployed in your current network Do you need Internet access Do you want CTS to provide a managed Firewall FWC In your MPLS configuration do you want your remote sites to be connected behind a corporate firewall for access to the SGN / Internet or do you want the remote sites to have access to the SGN and Internet directly Do you share a building / site with another state agency If so list them this might be a cost savings for your agency. What type of service / bandwidth do you require Ethernet T1 SMON other for this site Do you need network equipment and what are your specifications maintenance and budget requirements Please describe your multicast video or interactive video requirements for this site Do you have or need VOIP services Will CTS manage your remote routers Does your staff need access to the remote routers Do you have any future application s that may increase your network capacity requirements Do you have QOS requirements Do you have business continuity / DR application s currently connected to the network security If so please describe and provide the corresponding Page 2 statute or law that specifies these requirements. In the following tables enter the information that you need in order to create a profile for your requirement. Use the TAB key to move to the next field. Save the form and E-Mail to Servicedesk cts. wa.gov Organizational Name Has your agency purchased CTS services and or products before Yes No If yes which ones Department s HQ Location Address City State ZIP What is this your Department s familiarity and prior exposure or experience with our services and product Minimal Extensive Circuit info Request Network Services Info Circuit Info Vendor T1 Fractional Speed Vendor Ethernet For Ethernet UPS required Type of usage expected for this location 10M Full DS1 1 Gig CTS SMON Ethernet Fiber Termination copper Termination Customer supplied Light Medium Heavy Site Address Room DEMARC Ext If yes to where Termination node preference if available SLA Current Please note if SLA is not current no new installs can be completed. Page 1 NEW Switch / router Requests Connection Info Ethernet Circuit Serial Circuit Is the current Switch / Router needing upgrade Frame 1- T1 1G Multiple T1 s Unknown Current Switch or Router Brand and model Other notes New Site Customer Survey Please explain your overall business requirement and what your organization strives to achieve from using network technology. Provide the address and an onsite contact with a telephone number for each location that requires a service proposal. To which network do you need connectivity SGN IGN PGN Please provide a current network diagram with IP addressing Do you currently have any direct network connection s to business partners vendors etc If so please describe in detail. Describe current / new application s / traffic flow s What are prime business operating hours / regular scheduled maintenance period for this site Do you have firewall s deployed in your current network Do you need Internet access Do you want CTS to provide a managed Firewall FWC In your MPLS configuration do you want your remote sites to be connected behind a corporate firewall for access to the SGN / Internet or do you want the remote sites to have access to the SGN and Internet directly Do you share a building / site with another state agency If so list them this might be a cost savings for your agency.

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