QUALIFICATION FORM FOR THE INSTALLATION OF

NETWORK DEVICES

Customer:
Phone Number:

The following information is necessary for installation to proceed smoothly. Certain qualifications must be met before a
Muratec technician arrives on-site. Please consult your IT department for any information on this sheet.

Muratec prefers that an IT person be present during installation. If this is not possible, then he/she must be available for
contact. If all stations that need the necessary software are not reasonably available, then an IT person or someone
comfortable loading software and drivers must be present for training.

IT Contact:
Phone Number:

There must be an available static IP address prior to the arrival of a Muratec technician, including DHCP
environments. *The machine must also have a dedicated e-mail address if email functions are used.

Site Resources: (Please place a check beside all items that are available at site)

____ AC power outlets _____ RJ-45 Network cable of adequate length

____ An active RJ-45 outlet _____ Active network consisting of 2 or more workstations
____ An active fax line and number _____ Access to workstations affected

How many workstations? ______ (5 maximum) Is this a wireless network? Y or N (please circle)

Please fill out the following information. All fields must be completed:

Unit Information
IP Address:
Subnet Mask:
Default Gateway:
Primary DNS
Secondary DNS
SMB Information
Workgroup/Domain

E-Mail Environment - Will scan to Email be used? Y or N (If yes, please provide the necessary information below.)

Machine Name (arbitrary):

Machine E-mail Address:
SMTP Server Address:
*SMTP User ID:
*SMTP Password:
POP Server Address:
POP User ID:
POP Password:

I understand that any return trips resulting from incomplete or missing information or the absence of needed resources listed above
may result in additional service fees.

Name___________________________________Signature________________________________________ Date ___/___/____

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RM/Qualification Forms/8.20.03
 SITE SURVEY
NETWORK GATEWAY PRODUCT OPTIONS

Please circle Y or N beside each option and supply necessary information if applicable.

Will the LDAP feature be used? Y or N (If yes, please provide the necessary information below.)

LDAP Settings
Name (arbitrary):
Server Name:
IP Address:
Account:
Password:
Login Required?
User Login?
Start Point

Will Scan to FTP be used? Y or N (If yes, please provide the necessary information below.)

FTP Shortcuts
Shortcut Name
Host Name
Folder Name
User Name
Password
Will Network Scan to Folder be used? Y or N (If yes, please provide the necessary information below.)

Network Scan to folder

Shared Folder Name (Folder Permissions and Security must be set to Full Control)
Shared Folder File Path
Example: \\computername\folder

LDAP Settings Info

Name: Cosmetic label for particular LDAP server
Server Name: Computer name of DC - optional
IP Address: Address of DC - required
Account/Password: Name and password of registered domain user
Login Required: Select “Yes” if DC requires login
User Login: Select “Yes” if OfficeBridge Plus requires login
Start Point: Establishes start point of search. Standard syntax: ‘OU=address,DC=domain,DC=local’
OU refers to ‘organizational unit’ that exists in active directory. DC refers to components of domain name, e.g.
‘muratec.local’ is expressed ‘DC=muratec,DC=local’

I understand that any return trips resulting from incomplete or missing information or the absence of needed resources listed above
may result in additional service fees.

Name___________________________________Signature________________________________________ Date ___/___/____

PRINT

RM/Qualification Forms/4.3.01